Within the Health Information Management Department, the Coding Technician is responsible for assigning ICD-9 CM and CPT codes to charts of all discharged patients. The Coding Technician is ultimately responsible for ensuring accurate, appropriate and quality coded data for the organization. Responsibilities: 1) Reviews and analyzes medical records to determine the principal diagnosis, and procedure and all appropriate secondary diagnoses for inpatient and outpatient charts. a) Correctly identifies all diagnoses and procedures 98% of the time. b) Correctly assigns ICD-9 CM and/or CPT codes to all procedures and diagnoses 98% of the time. c) Codes all charts within three days of availability with 98% of the time. 2) Creates appropriate physician queries and participates actively in the physician query program. a) 98% of the time the queries are identified and appropriate 3) Informs supervisor of trends and opportunities for improvement in clinical documentation. 4) Maintain thorough knowledge of coding, including and knowledge of CHOP’s internal coding guidelines. 5) Reviews the official AHA Coding Clinic and demonstrates the ability to accurately apply new coding guidelines. 6) Researches new diagnostic and procedure codes as required to perform the coding function. Participates in the education of staff, physicians and appropriate divisions, as warranted. 7) Maintains reference library. 8) Assures compliance with the national Correct Coding Initiatives 9) Correctly identifies missing components of charts 98% of the time and sends workflow notice to colleagues for retrieval of missing documentation. 10) Abstract the pertinent clinical, coded, demographic and other required information into the medical record abstracting system with 98% accuracy. 11) Identifies trends/opportunities for improvement in clinical documentation and communicates through the appropriate channels. 12) Utilize the Quantim system to indicate accounts pending coding and the specific reasons. 13) Work collaboratively with other coders to resolve challenging cases/coding scenarios.
Applicants must have a valid RHIA OR RHIT OR CCS credential that is is recognized by AHIMA
Please proved credential number(s) in resume/CV (PLEASE NOTE: we will validate your credentials upon application).
A minimum of 1 year in-patient coding experience is strongly preferred. . All candidates brought for onsite interview will be tested on coding abilities.