Medical Records Coder will be responsible for reviewing, interpreting and abstracting clinical information from medical records for the purposes of reimbursement, research and compliance utilizing coding guidelines within established productivity standards for all accounts assigned. Checks and distributes reports and files in patient records. Maintains patient confidentiality.
Ensure appropriate selection of principal diagnosis, qualifying secondary diagnosis, impacting procedures and other services that are relevant for submission and reimbursement.
Effective physician query process prior to code assignment to obtain the greatest possible diagnostic specificity and clinical documentation to accurately reflect the patient's condition.
Consistently maintain quality and productivity standards and achieve the productivity target and quality targets
Ensures to reduce rejections and get the claim paid at the initial submission of claims.
Perform other related duties incidental to the work described herein.
Identify documentation deficiencies and query physicians for clarification and additional documentation prior to code assignment.
Education: Degree in any related field preferably medical or life science background. CPC (AAPC) certification is mandatory.
Minimum of one-two (1-2) years of coding experience in any setting.
Willingness to work in different shifts
Willingness to work from a different facility
Basic knowledge in medical record review to abstract information required to support accurate coding.
Valuable skill in assigning accurate CPT, ICD-10-CM, DRG, HCPCS and other service codes for diagnosis and procedures performed in the OP/ER/IP setting.
Proficiency in medical terminology, anatomy, and physiology.