Job Description
Overview
Under supervision, to perform work involving the thorough examination and evaluation of medical record documentation to accurately assign ICD-10-CM, CPT 4, and HCPCS codes and to abstract relevant information from inpatient and outpatient records.
Responsibilities
PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions)
Under supervision, to perform work involving the thorough examination and evaluation of medical record documentation to accurately assign ICD-10-CM, CPT 4, and HCPCS codes and to abstract relevant information from inpatient and outpatient records.
Responsibilities
PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions)
- Coding Standards and Guidelines: Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Completes HealthStream coding compliance task.
- Coding: Applies the appropriate diagnostic and procedural codes to individual patient health information, for data retrieval, analysis, and claims processing utilizing computerized encoder and grouper.
- Accuracy Standards: 100-95 = Exceeds Standards (5); 94-90 = Above Standards (4); 89-85 = Meets Standards (3); 84-80 = Improvement Ne...
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