Under the supervision of the Coding Supervisor or designee, assigns ICD-9-CM/CPT-4, E&M, and HCPC codes for reimbursement. Must be able to code Emergency Room, Outpatient, Inpatient, Observation, Day Surgery, Physical Therapy, and Optometry visits.
Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) - must have at least two year’s experience with CPC.
Must have proficiency in reading handwriting of providers, computer literacy for entering data, ability to communicate well verbally and in writing with various health care providers, ability to work as a team member, analyze and evaluate material and train others.
Must be self-motivated and detail oriented.
Plans, executes, and controls job functions as a member of the Coding work team.
Assigns codes on all diagnoses, procedures, professional service, and supplies with the most accurate and descriptive ICD-9-CM, CPT, Evaluation and Management and HCPCS codes for all patient encounters for reimbursement and statistical data collection.
Uses coding resources such as the CPT Assistant, Coding Guidelines, etc to stay informed of coding changes.
Provides one-on-one training with providers of E&M procedures in absence of coding supervisor.
Codes and enters data into RPMS for Inpatient/Outpatient visits from Electronic Health Record, Coding Queue, Village PEF’s, and other source documents.
Informs supervisor of key words needed in auto coding system.
Assists in preparation/production of special reports from data bases of Patient Registration and PCC.
Attends Coding Audio conferences and workshops as assigned or directed by supervisor.
Responsible for keeping national certifications current.
Participates in performance improvement programs, compliance programs, and follows safety and infection control procedures.
Demonstrates knowledge and skill in both internal and external disaster procedures for the department and is able to respond immediately.
Safeguards records and electronic data from unauthorized access.
Maintains strict confidentiality, compliance with the Health Insurance Portability and Accountability Act (HIPAA). Understands that breach of these requirements may be cause for immediate termination and subject to civil and criminal liability and fines.
Maintains a clean and neat, well-organized work environment.