Job Description

Description

: 

GENERAL OVERVIEW:

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.


ESSENTIAL RESPONSIBILITIES

  • Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%)
  • Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
  • Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
  • Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
  • Performs other duties as assigned or required. (5%)


    • QUALIFICATIONS:

    Minimum

  • High School/GED
  • Successful completion of coding courses in anatomy, physiology and medical terminology
  • 1 year of Hospital and/or Physician Coding
  • 1 year coding at mid-level facilities or clinics
  • 1 year coding major surgeries, observations and/or E/Ms
  • Medical Terminology
  • Strong data entry skills
  • An understanding of computer applications
  • Ability to work with members of the health care team
  • Any of the following:Registered Health Information Technician (RHIT)Registered Health Information Associate (RHIA)Certified Coding Specialist Physician (CCS-P)Certified Professional Coder (CPC)Certified Outpatient Coder (COC)

    • Preferred

  • Associate's Degree in Health Information Management or related field

    • Pay Range Minimum:

    $21.32

    Pay Range Maximum:

    $33.05

    Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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