Description

The purpose of this position is to abstract clinical data from inpatient and outpatient records to facilitate reimbursement and data collection activities.

1. Abstracts pertinent information from inpatient and 96% same day surgery records to assign the ICD-10-CM and HCPCS codes in compliance with all regulatory mandates and inpatient reporting requirements and accurately enters this information in the hospital's abstracting software. When services are not documented appropriately seeks to obtain proper documentation in a timely manner.
2. Abides by the Standards of Ethical Coding as set forth by The American Health Information Management Association and reports any and all concerns involving compliance issues to the Director of Health Information Services or via the compliance hotline.
3. Demonstrates competency in the use of computer applications and APC grouper software, OCE edits and all coding and abstracting software and hardware currently in use in the Health Information Services Department.

Requirements

Education: High School Diploma or equivalent

Certification: RHIA, RHIT or CCS required. CCA,CPC,CIC or COC with 2+ yrs inpatient hospital coding experience will also be considered. Required to obtain CCS within 1yr of hire.  

Experience: Minimum of two years inpatient coding experience in ICD-10-CM and HCPCS preferred.