Essential Job Functions
- Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.
- Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure codes, with attention to accurate sequencing.
- Utilizes technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records.
- Maintains compliance with both external regulatory and accreditation requirements as well as state and federal regulations.
- Extract pertinent data from the patient's health record and determine appropriate coding for reports and billing documents.
- Identifies codes for reporting medical services and procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients.
- Track and document productivity in specified systems and maintain productivity levels defined by the client.
- Maintain a 95% quality rating.
- Perform duties in compliance with the Company's policies and procedures, including, but not limited to, those related to HIPAA and compliance.
Required Education and Experience
We are seeking a Primary Care Coder, with experience in Family Medicine, Internal Medicine, Endocrinology, Peds, and Urgent Care. The coder must have two years of post-certification experience and current on-the-job experience.
Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two years of current production coding experience in profee Primary Care E&M
CPC
EPIC required
pCAC trained on