LICENSES/CERTIFICATIONS REQUIRED RHIT,RHIA,CCS,or CPC, certification required

DESCRIBE THE SPECIFIC EDUCATIONAL AND SKILL COMPETENCIES REQUIRED FOR THIS POSITION

This position is responsible for application of the appropriate diagnostic and procedural codes to individual patient medical records for data retrieval, analysis and claims processing. The responsibilities include, but are not limited to: abstracts pertinent information from patient records into the computer system, assigns ICD or HCPCS codes, and creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to the supervisor or department director for resolution. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. This position functions according to the WRMC HIPAA guidelines. Preferred minimum of two years experience as a coder or strong training background in coding and reimbursement within an acute care setting.