Medical Records Coding Specialist
1 week ago
Under general supervision, responsible for conducting quality reviews of inpatient and outpatient coding, ensuring coding compliance with federal regulations, and maintaining up-to-date coding guidelines and policy changes.
Key Responsibilities- Reviews, interprets, and assigns diagnostic and procedural codes based on medical record documentation according to correct coding principles.
- Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records, and coding of diagnoses and procedures using ICD-10 and CPT codes.
- Works coding-related charge review and claim edits daily to ensure timely and accurate billing.
- Resolves coding-related issues and assists in meeting productivity and quality standards.
- Verifies charge entry and physician notes for completeness, including abstracting and entering relevant medical information from the medical records, checks for required signatures, and assures proper documentation guidelines are followed.
- High school diploma or GED is required.
- Three (3) years experience in medical record abstraction and coding is required.
- Accreditation from a professional coding organization, such as American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification is required.
- Proficiency in ICD-10 and CPT coding.
- Fundamental understanding of medical terminology, anatomy, and physiology.
- Meticulous attention to detail and accuracy.
- A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner.
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