Par time position, days. Codes diagnosis and procedure information from medical records according to ICD-9-CM, CPT-4, UHDDS and CMS guidelines. Utilizes 3M Encoder to verify and assign ICD-9-CM, CPT-4 codes, and APR-DRG assignment. Performs data entry of abstracted records into Star Patient Care System, maintaining a 95% abstracting accuracy rate as measured through quality reviews. Maintains a 95% coding accuracy rate as measured through quality reviews. Maintains daily productivity as outlined in Performance Improvement plan. Responsible for maintaining up-to-date knowledge of coding and DRG principles and guidelines. Maintains a working knowledge of prospective payment systems as it relates directly to coding procedures.
Physical and Sensory Requirements: Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Extended periods of vision use for reviewing computerized patient records, abstracting of patient information, approximately 7 hours per day, 3 hours at a time. Hearing as it relates to normal conversation. Occasionally may be required to use upper extremities to lift up to 10 lbs.; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with department downtime policy; use of wheel cart to and from Medical Records Department.
RHIA, RHIT and/or CCS with minimum 1-3 years OP coding experience in acute care, teaching hospital setting. Previous experience with computerized patient record and encoding system preferred.
Training and Experience
Minimum 1-3 years coding experience in acute care setting. Previous experience with computerized patient record and coding system preferred.
St. Luke's Hospital & Health Network - 23 months ago