Overview
Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders.
Responsibilities
Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders.
Qualifications
Education
- H.S. Diploma or General Education Degree (GED) Required
- Coding Certificate program, AAPC or AHIMA accredited Preferred
Work Experience
- No experience required
- Coding experience Preferred
Licenses and Certifications
- RHIA - Registered Health Information Administrator Required or
- RHIT - Registered Health Information Technician Required or
- CPC, CPC-A, CPC-H - Certified Professional Coder Required or
- CCA - Certified Coding Associate Required or
- CCS-Certified Coding Specialist CCS-P Required or
- Equivalent coding certification Required
Business Unit : Company Name
Piedmont Healthcare Corporate