Medical Records Coder-Intermediate

Under general supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes.

• 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.
• Strong verbal, written and interpersonal communication skills.

Education

• Highschool diploma or GED is required.

Licenses and Certifications

• License and Certifications
• CBCS Certified Billing and Coding Specialist (National Healthcareer Association)
• RHIT Registered Health Information Technician (AAPC)
• RHIA Registered Health Information Administrator (AAPC)
• CCS Certified Coding Specialist (AAPC)
• CPC Certified Professional Coder (AAPC)

• Reviews, interprets, and assigns diagnostic and procedural codes based upon 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.
• Researches and resolves coding related issues, and assists in meeting productivity and quality standards.
• Verifies charge entry and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; assures proper documentation guidelines are followed.
• Review medical records and charge fee information from patient care area.
• Contacts other facilities to obtain medical records and information needed to bill for services rendered.
• Reviews EPIC queues and correct coding edits.
• Codes diagnosis and procedures using classification coding systems.
• Reviews charge documents for completeness.
• Performs all other duties as assigned.