JOB SUMMARY:

Under limited supervision, reviews medical records and performs coding on all diagnoses and procedures (both medical and surgical) according to applicable coding guidelines. Assigns and verifies the correct diagnostic related grouping (DRG) for all inpatient-designated account types. Applies the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. Maintains the confidentiality of patient records and procedures.
MINIMUM QUALIFICATIONS:

Education/Specialized Training/Licensure: High school diploma or GED. Certified Coding Specialist (CCS) credential required. RHIA/RHIT credential preferred

Work Experience (Years and Area): 5 years minimum of Inpatient coding experience. Inpatient Coding in Trauma Level 1 teaching facility preferred

Equipment Operated:3M encoder interfaced with EPIC electronic medical record billing system

SPECIAL REQUIREMENTS:

Communication Skills: Writing /Composing: Correspondence, Reports

Other Skills: Analytical, Medical Terms, P.C., Anatomy and Physiology

Work Schedule: Holidays, Flexible, Eligible for Telecommute

Other Requirements:
Knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology
Knowledge of classification systems ICD-10-CM, AND ICD-10-PCS nomenclature, coding rules, guidelines, and proper sequencing
Knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), and the ICD-10-CM and ICD-10-PCS Official Coding Guidelines for assignment of diagnostic and procedure codes Knowledge of JCAHO, Privacy Act of 1974, and HIPAA standards affecting medical records and their impact on reimbursement
Knowledge of ethical coding principles and revenue cycle activities
Skill in interpreting and applying ethical coding standards, understanding federal and state laws and regulations, and following professional practice standards for health care organization coding