Mason Health provides these benefits for per-diem employees :
Mental Health & Wellness resources
Employee Assistance Program
Paid Sick Leave
Job Summary :
Assigns diagnostic and procedure codes and abstracts data to outpatient and / or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines.
Job Specific Duties & Responsibilities :
Review medical records for completeness, accuracy and compliance with federal, state and accreditation agencies’ documentation standards.
Assigns and sequences ICD-9 / 10-CM / CPT / HCPCS codes to diagnoses and procedures for documented information.
Assures the final diagnoses and operative procedures as documented by the physician are valid and complete.
Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
Abstracts all necessary information and assigns codes (ICD-9 / 10, CPT & HCPCS), which most accurately describe each documented diagnosis, surgical procedure and or procedure according to CMS and other payers requirements.
Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
For identified coding / billing errors, analyze and investigate the source of error to prevent future occurrences.
Carefully analyzes provider documentation for support of diagnosis and procedure code assigned.
Other duties as assigned.
Required Education and Experience :
High school diploma or equivalent.
One year ICD-9-CM coding and abstracting with updated knowledge of coding guidelines and principles.
Required Licenses, Certifications and / or Registrations :
RHIA, RHIT, CPC or other valid coding certification.
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