Reporting to the Medical Records Director, this position is responsible for the timely coding and abstracting of medical records in accordance with the current principles of ICD-10-CM and CPT coding guidelines using 3M encoding system, resolving technical coding and sequencing problems and is responsible for accurate abstracting of patient data into the AS-400 computerized data base system in accordance with the department policies and guidelines. Must be knowledgeable in physician query process for accurate coding. This position is also responsible for monitoring the unbilled report (AR-Report) and maintaining compliance within the established turn-around time of 5-days, and performing clerical and/or technical medical record duties. Assembles medical records, analyze discharged records, assists physicians with chart completion, files records, and completes monthly statistical reports, answers telephones, processes release of information requests, as well as other daily duties within the Medical Records department as assigned. Non-exempt position.
This position is not available for remote work.
High School Diploma required. Prefer applicant with Associates Degree in HIM.
One (1) year experience in inpatient coding experience preferred. Computer experience that includes but not limited to Excel, Power Point, Microsoft, 3M encoder preferred. Prefer 1 year experience in HIM department.
CCS Certification from AHIMA or CPC from AAPC.
Must have knowledge of medical terminology, and be skilled in the use of DSM-V and ICD-10 CM medical terminology. Must be able to type accurately and have basic clerical training, which includes computer skills, basic filing skills and fundamental knowledge of office procedures. Ability to pay attention to detail, develop and maintain effective efficient systems. Excellent organizational skills. Excellent communication skills, both oral and written.
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