Medical Record Coder - FT
Saint Annes Hospital - Fall River, MA

This job posting is no longer available on Steward Health Care. Find similar jobs: Medical Record Coder jobs - Saint Annes Hospital jobs

Summary: The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.

Responsibilities: Abstracts pertinent information from patient records. Assigns ICD-9-CM or HCPCS codes, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Have a strong knowledge of interventional radiology coding and familiarity with the charge capture process for this service. Be proficient in the use of medical record systems and database management applications. Ensure compliance with reimbursement requirements including Prospective Payment System. Be able to achieve minimum of 95% ICD-9 and CPT coding assignments. Familiarity with DRG and APC reimbursement systems.

Qualifications : Must have a minimum of 3-5 years of experience in an acute healthcare setting, Bachelor's degree with RHIA or Associate degree with RHIT and CCS certification preferred.

Inpatient and Surgical Day coding experience preferred.