Administrative Skills, Clinical Information, Current Procedural Terminology (CPT), Department of Health and Human Services, Documentation, Documentation Review, Federal Laws and Regulations, Funding, Healthcare, Healthcare Common Procedure Coding System (HCPCS), High School Diploma, ICD-10, Legal, Lift/Move 25 Pounds, Medical Coding, Medical Records, Organizational Skills, Physical Demands, Record Keeping, State Laws and Regulations, Support Documentation, Telephone Skills
Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.
Job Duties:
- Routine duties shall include providing health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and United States executed under the authority of the Indian Self-Determination and Education Assistance
- Reviews documents to ensure completeness and appropriateness before data
- Reads notes and source documentation to support the diagnosis given and to detect errors or missing diagnosis.
- Abstracts clinical information from a variety of medical records and assigns appropriate ICD-10-CM, CPT, HCPCS, and Transcodes to patients' records according to established
- Queries physicians when a code assignment is not straightforward or the documentation in the record is inadequate, ambiguous, or unclear for coding
- Notifies supervisors when errors are detected and makes
- Maintains the confidentiality of any information received from any person or source about a patient, unless authorized in writing by the patient or required by law or court
- Complies with the applicable state, tribal, and federal regulations in regard to the security, safety and confidentiality of any record created, maintained, transferred or destroyed, whether the record is written, taped, computerized or stored in any other
- Performs general office duties, including but not limited to answering phones, making copies,
- Assists other staff as
- Other duties as
LEVEL OF RESPONSIBILITY
- Performs work under direct
- Handles basic issues and problems, and refers more complex issues to higher-level
- Possesses beginning to working knowledge of subject matter
Qualifications:
QUALIFICATIONS
- High school diploma or GED; no
- Six (6) months of related experience or one (1) year of non-related
COMPETENCIES
- Detail oriented.
Ability to understand and follow directions.
Organizational skills.
Attentiveness.
Clerical skills.
PHYSICAL REQUIREMENTS
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk. The employee must regularly lift and /or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.
OTHER REQUIR EMENTS
The employee must not be and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG's Cumulative Sanction Report, or the GSA's List of Excluded Providers, or listed on the OIG's List of Excluded Individuals/Entities (LEIE).