Responsible for accurately coding moderate complexity claims (experienced ASU/OBS, Community In-Patient or learning teritary In-Patient) independently or is learning higher complexity cases with assistance. Reviews inpatient/ASU/Observation and outpatient medical records and timely and accurately codes diagnostic and procedural information primarily relating to community care or is learning inpatient for teritiary care facility.
Reviews abstract medical records to identify, sequence, and code diagnoses and procedures according to established coding, CMS, hospital, and system guidelines.
Maintains productivity and quality rate according to established standard.
Supports Clinical Documentation Improvement program and insures optimal DRG/APC/ASC assignment and works within University Hospital billing time frames. Maintains updated knowledge of guidelines and regulations affecting the Coding field
Medical terminology, anatomy, and physiology knowledge required. Two plus years of ICD-9-CM and/or CPT coding experience preferred. Excellent written and verbal communication skills required. Ability to function independently and as a team player in a fast-paced environment required. Must be detail-oriented and organized, with good problem solving ability. Notable client service, communication, and relationship building skills required.
Associate or Bachelor's degree in HIM required.
RHIT or RHIA required or must take and pass within 6 months of hire. CCS preferred.
Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity.
Location/Region: Cleveland, OH (US - 44101)