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Role Description

• Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes.
• Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines.
• Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures.
• Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues.

Qualifications

• High school diploma/GED or equivalent working knowledge preferred.
• Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC).

Requirements

• A minimum of one of the following credentials: CCS-P or CPC.
• Meets established coding and abstracting quality and productivity standards.
• Experience with various coding software. Previous experience with remote coding is preferred.
• Possesses PC skills, both keyboarding and applications.
• Requires a good understanding of anatomy, physiology, medical terminology, and disease processes.
• Ability to work independently.
• Excellent attention to details.

Knowledge

• Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable.
• Knowledge of government and commercial insurance plans requirements.
• Understands and applies medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes.

Skills

• Skill in customer service and an understanding of The HOPCo code of conduct and culture.
• Skill in communicating effectively with physicians, clinical staff, and the public.
• Skill in establishing good working relationships with both internal and external customers.

Abilities

• Ability to maintain patient confidentiality.
• Ability to communicate with internal and external customers professionally.
• Ability to work independently.

Environmental Working Conditions

• Normal office environment.

Physical/Mental Demands

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.

Organizational Requirements

• HOPCo Mission, Vision, and Values must be read and signed.
• This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.