- Assigns ICD-10 and/or CPT/HCPCS codes, as appropriate, and abstracts pertinent information from patient medical records.
- Ensures optimal reimbursement of all cases in compliance with CMS policies and procedures and Official Coding Guidelines.
- Implements medical center’s physician query process when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes.
- Maintains updated knowledge of coding guidelines and reimbursement reporting requirements.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association.
- Ensures client’s production and quality expectations are met.
- Communicates professionally and effectively
Requirements
- AHIMA/AAPC certification required.
- Minimum of 2 years' recent medical production coding experience required.
- Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language may be required.
Duke University Health System
Synterex
MMS
