Primary Duties
The mission of Faith Regional Health Services is to serve Christ by providing all people with exemplary medical services in an environment of love and care.
Summary:To abstract and code patient records utilizing ICD-10 and CPT coding nomenclatures.
The listing of job duties contained in this job description is not all inclusive. Duties may be added or subtracted at any time due to the needs of the organization.
Responsibilities:
Essential Job Duties and Responsibilities:
1. Assigns diagnoses and procedure codes to all patient records.
2. Maintains at least a 97% accuracy standard.
3. Ensures sequencing of codes is completed according to established guidelines for optimum reimbursement.
4. Reviews medical records for completeness and to abstract clinical data such as diseases, operations, procedures and therapies.
5. Reports coding problems to the HIM Director after evaluation and/or coding.
6. Consistently follows established coding guidelines and coding ethics policies.
7. Ensures thorough documentation is present in the medical record to substantiate code assignment by corresponding regularly with physicians.
8. Accurately inputs assigned codes on the computer system for billing and statistical purposes.
9. Monitors reports for timely coding or charts providing appropriate follow-up as needed.
10. Enhances professional growth and development by:
- Attending in-service meetings
- Participating in educational programs
- Attending appropriate conferences
- Reading pertinent publications
11. Consistently responds knowledgeable to requests from other departments or physicians regarding coding issues to assist in providing the best possible outcome.
12. Maintains current professional credentials. Credentials must be maintained and level of complexity as defined by organization must be met consistently to qualify as Level II Coder.
Hours will be dependent on patient census and workload. Ability and willingness to work a flexible schedule, to include after-hours and weekends as necessary.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.