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Job Details


Coder (Full Time)

Location: Cuyahoga Falls, oh Country: United States of America

1. Analyzes medical record documentation for all clinically pertinent information to substantiate diagnoses and procedures. Screens medical records to identify those requiring special processing.

2. Assigns CPT Outpatient codes according to guidelines established by the federal government and local review agencies. Utilizes APC grouper when applicable.

3. Assigns ICD-10 and sequences codes according to national coding guidelines, federal guidelines and local review agencies based on their analysis of the record documentation and enters them in the medical record database.

4. Utilizes multiple groupers based on payor type to calculate an appropriate DRG

5. Performs limited abstracting of designated data elements in the medical record database.

6. Initiates DRG Memo process for physician queries on missing/incomplete documentation.

7. Initiates and completes physician communication letters/memos as needed for problem or questionable records. Assists medical record staff, other departments/physicians on coding questions.

8. Has a general knowledge of medical necessity issues on outpatient claims (diagnosis to cover services provided.

9. Have a knowledge of modifier application for CCI edits on a 3M charge interface system for outpatient coding (charges seen at the point of coding)

10. Attends coding in-services and completes required continuing education hours per certification.

1. Education and Training (must meet one requirement)
* Registered Health Information Technician (RHIT) (AHIMA certification)
* Certified Coding Specialist (CCS) (AHIMA certification)
* Certified Outpatient Coding (COC) (AAPC certification, formally CPC-H)
* Certified Professional Coder (CPC) (AAPC certification)
* Certified Professional Coder-Apprentice (CPC-A) (AAPC certification)

2. Experience
One (1) year experience of coding in an acute care setting preferred.

3. Other Skills, Competencies and Qualifications
* Ability to review medical record documentation for pertinent diagnoses and procedures.
* Ability to effectively communicate verbally and in writing with medical records staff, hospital employees, physicians, etc.
* Ability to operate PC.

Posted Date: 18 Jun 2019 Reference: CB4735 Company: Western Reserve Hospital Contact: Deborah Gustie