Demonstrates and understands the importance of and respect for the rights, dignity and individuality of each patient in all interactions.
Manages the daily operations of coding for assigned hospitals ensuring timely and accurate coding of medical records.
Maintain a DRG accuracy rate of 95% and code accuracy of 91%.
Must communicate documentation improvement needs with the medical staff in a query format, verbal and/or written.
Will assign DRGs on admissions, concurrently code during the visit and final code within 5 calendar days of the patient discharge.
Will assist with education for documentation improvement in conjunction with the Case Manager of the local facility.
Accurately abstracts each medical record in accordance to best practice standards.
Will assist in the patient evaluation process by providing a preliminary DRG.
Will attend the weekly inter-discipline team meeting or its equivalent.
Must have knowledge of medical terminology, the human disease process, anatomy and physiology.
Must be able to demonstrate knowledge of ICD-10-CM and ICD-10-PCS.
Must be able to demonstrate knowledge of reimbursement (Medicare) principles.
Develop an understanding of responsibilities for participation in Performance Improvement activities.
Participate in Care Conference meetings when needed.
Understands work objectives, establishes priorities, anticipates and handles problems and carries out work activities in an orderly and timely manner to meet defined standards.
Displays a positive/effective working relationship with co-workers, other department and medical staff. Demonstrate respect, friendliness and helpfulness in dealing with the public in person and/or over the telephone.
Attend scheduled staff meetings.
Associate’s degree in Health Information Technology required.
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred.
American Health Information Management (AHIMA)
Certified Coding Specialist (CCS) or American Academy of Professional Coder (AAPC)
Certified Professional Coder (CPC) or Certified Professional Coder – Hospital (CPC-H) Coding Certification required.
2+ years of coding experience in an acute setting required, LTACH experience preferred.
Certified Coding Specialist
Certified Professional Coder
Registered Health Information Technician
Registered Health Information Administrator
Health Information Management