Summary:

Assign ICD-10-CM/CPT-4, E&M, and HCPCS codes for reimbursement. Must be able to code Emergency Room, Outpatient, Inpatient, Observation, Physical Therapy, and Specialty Clinic visits.

Essential Job Functions:

Assign codes on all diagnoses, procedures, professional service, and supplies with the most accurate and descriptive ICD-10-CM, CPT-4, Evaluation and Management and HCPCS codes for all patient encounters for reimbursement and statistical data collection. Use coding resources such as the CPT Assistant, Coding Guidelines, etc. to stay informed of coding changes. Enter data into RPMS for visits from PCC encounter forms, village forms, and other source documents. Work cooperatively with the implementation of Electronic health Records and maintain operational use and management of the system. Responsible for keeping national certifications current. Assist in apprenticing/training of upcoming coders Audit all apprentice work Audit of some coder work

Qualifications:

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education & Experience:

Associates Degree in Health information Technology or related field preferred. Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) certification and training, to include AAPC (American Academy of Professional Coders) Equivalents of CPC (Certified Professional Coder). If applying with an RHIT certification, you must obtain your CCS within six (6) months. Minimum one-year experience.

Desired Knowledge, Skills & Abilities:

Proficiency in reading handwriting of providers. Ability to communicate well verbally and in writing with various health care providers. Good interpersonal skills and ability to work as a team member. Ability to analyze and evaluate material and solve problems. Must be self-motivated and detail oriented. Knowledge of health care delivery systems and the role of the Medical Records Department in ensuring its effectiveness and efficiency. Knowledge of federal and state laws governing medical records and knowledge of Joint Commission standards applicable od the department. Working knowledge of Medical Records practices and procedures. Ability to work effectively in cross-cultural environment. Proficient computer skills utilizing RPMS and word processing programs. Proficient computer skills for data entry.

Computer Skills:

RPMS preferred. Excel preferred.

Certification/Licensure:

Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS). 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