Reviews medical records to abstract medical and demographic data, applying ICD-10-CM and CPT codes to diagnoses and procedures. Helps reduce average accounts receivable days through accurate, timely coding.
Key responsibilities:
- Reviews physician treatment plans and outcomes to determine appropriate ICD-10-CM/CPT codes
- Abstracts data elements for statistical requests from the hospital, health system, and medical staff
- Manages unbilled coding reports to support efficient cash flow
- Stays current on ICD-10-CM/CPT guideline changes through ongoing training
Requirements:
- High school diploma/GED, completed coursework in anatomy, physiology, and medical terminology
- 1 year of hospital and/or physician coding experience, including mid-level facility/clinic coding and major surgeries/observations/E&Ms
- One of: RHIT, RHIA, CCS-P, CPC, COC, or CPC-A
- Associate's degree in Health Information Management preferred