Coder in Sanford, NC at Central Carolina Hospital

Date Posted: 8/4/2020

Job Snapshot

Job Description

Central Carolina Hospital

Independently reviews, abstracts, and assigns diagnoses and procedure codes to all inpatient, outpatient surgery, observation, and emergency room visits, outpatient diagnostics, emergency medical service accounts, and physical therapy and cardiac rehabilitation visits. Verifies that each medical record contains appropriate documentation to support the diagnosis, procedure and any co-morbid or complication conditions assigned to the patient’s abstract. All records are coded with a 95% or higher accuracy rate utilizing ICD-10-CM, CPT 4, HCPCS, Coding Clinic, CPT Assistant, and ICD-10-CM Official Guidelines for Coding and Reporting.

Essential Functions:
1. Assigns codes with 95% accuracy utilizing computerized encoder, ICD-9 Official Coding Guidelines, Coding Clinic and CPT Assistant.
2. Accurately enters abstract information into the clinical abstracting system.
3. Sequences diagnoses and procedures based on correct coding definitions and guidelines.
4. Utilizes physician query process in areas w here further specificity is needed and when conflicting information appears in the medical record.
5. Demonstrates professional, effective communication with the medical staff in educating and promoting quality medical record documentation.
6. Daily reviews and works the bill hold report for claims not received or claims with code hold reasons.
7. Runs CARDS and checks eRequest daily and ensures all flagged charts are reviewed before end of duty day in order for bill to drop.
8. Daily works the Discharge Summary Review que.
9. Daily assigns a working DRG for in house patients within 24 hours of admission and reviews and updates on patients who continue to stay in the hospital every 72 hours.
10. The first of each month ensures a working DRG for all patients in the hospital for the monthly contractual report.
11. Works cooperatively with billing office, registration, case management to resolve coding/billing issues/edits.
12. Maintains daily productivity log to be given to supervisor by the first of each month.
13. Attends mandatory coding conference calls and coding workshops
14. Maintains CE hours as required for credentials.
15. Maintains patient confidentiality at all times.

Job Requirements

Required Education:
High school diploma is required
Two years of college is preferred
Associate’s degree is preferred

Required Certification:
Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is required.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran


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