Job Description
Description
JOB SUMMARY : Abstracts clinical information from medical records. Assigns appropriate ICD-10-CM and CPT-4 codes.
QUALIFICATIONS :
JOB SPECIFIC CORE COMPETENCIES:
Aptitude for detail and accuracy. Ability to work unsupervised. Ability to abstract relevant clinical and demographic information from the medical record for highest specificity of coding and reimbursement purposes. Has a good foundation of ICD-10-CM and CPT-4 coding and reimbursement guidelines. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES :
Assigns ICD-10-CM and CPT-4 codes in accordance with coding and reimbursement guidelines including, but not limited to, the following: Identifies principal and secondary diagnoses and procedures based upon UHDDS standards. Uses seventh character and sequencing conventions. Documentation is present to substantiate codes assigned.
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