Reviews medical record documentation to select and sequence the appropriate ICD-9-CM diagnosis, and ICD-9-CM and HCPCS procedure codes. Applies all appropriate coding guidelines and criteria for code selections. Adheres to Company and HSC Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for diagnoses and procedures. DUTIES INCLUDE BUT ARE NOT LIMITED TO: Codes emergency room (ED), Recurring (RCR) and clinical (CLI) records, including the assignment of ICD-9-CM and HCPCS/CPT, and where applicable, assignment of E/M levels, Procedure categories and modifiers across multiple facilities Codes an average of 25 ED records per hour/ 12 ED records per hour with ICD-9 and E/M coding (where applicable); or 37.5 RCR records per hour; or 37.5 CLI records per hour with 95% accuracy Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current Meets all educational requirements as stated in current Company and HSC policies Utilizes the complete medical record documentation in code assignment Initiates physician query in compliance with Company and HSC policy when appropriate Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement Other duties as assigned KNOWLEDGE, SKILLS & ABILITIES Coding Technical skills- regulatory coding (ICD-9-CM, CPT-4, and APCs) and associated reimbursement knowledge Organization establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task Communication - communicates clearly and concisely Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems PC skills - demonstrates proficiency in Microsoft Office applications and others as required. Analytical skills effective evaluation, synthesis and use of information gathered Quality Orientation accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watch |