JOB REQUIREMENTS
Education
High school graduate or equivalent. AHIMA credentials (RHIA, RHIT or CCS) or AAPC credentials (CPC and/or CPC-A) required.
Experience
Requires coding experience of inpatient and/or outpatient records in an acute care setting, both ICD-9 and ICD-10 CM and PCS and CPT. Experience assigning charge codes for emergency room visits and overall knowledge of professional billing. Experience with auditing and charging of other types of other types of outpatients preferred. Must be familiar with working denials and general understanding of the charge master, payer requirements, clinical documentation improvement and overall knowledge of the revenue cycle preferred. Experience with Microsoft Excel preferred.
Physical
Normal hospital environment. Close eye work and hearing within normal range. Oral communication. Operates computer, printer, fax and copier. Long periods of sitting. Occasional walking, bending, and climbing. May lift and carry up to 5 pounds.
JOB SUMMARY
Assign codes to all medical records using ICD-9-CM and or ICD-10 nomenclature and CPT classifications. Enter and/or updates data in computer system to facilitate billing procedures. Assign charge codes to emergency room records and other outpatient records as required. Responsible for working in the denials management system as directed. Functions as a part of the Clinical Documentation Improvement Program (CDIP) to ensure compliance and appropriate reimbursement.