Health Information Specialist
3 weeks ago
This role involves coding and abstracting inpatient, day surgery, emergency, and outpatient records. The successful candidate will be responsible for assigning ICD-10CM/PCS codes, grouping codes to determine diagnosis-related groupings (DRGs - CMS and/or APR), and meeting departmental accuracy and production standards.
Key Responsibilities:- Coding: Reviews medical records to determine the physician's diagnosis/procedures for the patient and assigns ICD-10CM/PCS codes.
- Abstracting: Abstracts predetermined information from inpatient, day surg, ER, and outpatient records and enters that information onto the medical record abstract.
- Communication: Assures that co-workers and management are well-informed and adequately prepared by communicating relevant information to the coding area or department.
- Formal working knowledge equivalent to an Associate's degree in HIM, HIT, or a related field.
- 3-5 years of relevant coding experience.
- CCS or CCA with 5+ years' experience or RHIT, or RHIA required.
- Must complete 2 charts per day with 98% accuracy.
Estimated Salary Range: $60,000 - $80,000 per year, depending on location and experience.
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