Instant pay is available for qualifying positions
Paid Time Off Accrual Bank
Opportunities for growth and advancement
Tuition assistance/reimbursement
Excellent pay differentials on qualifying positions
Flexible scheduling
Job Description
Essential Functions
Analyzes, audits, and abstracts clinical record information for all patient encounters according to the established parameters. Ensures the accuracy, completeness, and propriety of medical information both text based and encoded in all patient care settings.
Assists with keeping discharged unbilled accounts within limits as specified by CEO.
Assigns and sequences diagnosis and procedure codes for all patient encounters utilizing applicable ICD-9, CPT-4 and HCPC coding systems. Keeps current with changes in statutory regulations to ensure coding compliance.
Assists the Office Supervisor and Directors with miscellaneous office support tasks upon request.
Assures confidentiality of Medical Records in accordance with hospital policy.
Completes facility charges for outpatient services as assigned.
Discharge Analysis Quality: Analyzes discharge records for completeness and accuracy of documentation and prepares deficiency lists for physicians by entering the needed items into the incomplete record system. a) SO/OPS Discharge Analysis Quality, b) Inpatient Discharge Analysis Quality.
Educates, and communicates with Providers and Hospital workforce in the area of clinical documentation, DRG assignment and coding guidelines.
Inpatient Coding and DRG Quality: Accurately selects appropriate diagnosis and procedure codes for all inpatient medical records in accordance with established guidelines, remaining under a 5% error ratio. Appropriately assigns correct DRG.
Provides technical assistance for authorized data retrieval from the coding database. Serves as a resource for others with questions, inquiries concerning coding applications, compliance, and data interpretation.
All other duties as assigned.
Additional Requirements
Required