Job Description:
• You will be responsible for providing coding and abstracting services for clients on physician medical records using ICD 10-CM, CPS, and CPT coding systems.
• You will use established coding principles, software, and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record.
• You will participate in industry forums and support coding education within the team.
• Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter.
• Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition.
• Ensures appropriate DRG assignment.
• Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
• Consistently meet productivity and quality performance requirements.
• Responsible for utilizing applications to enter charts coded in real-time throughout the scheduled shift.
• Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
• Participate in team meetings and all training required by IKS staff or client.
• May be asked to participate in training or shadowing of other coders.
• Flexibility in assignment over multiple clients to ensure meeting required classification hours.
• Participate in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management.
• Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
• Participates in education modules as assigned.
• Responsible for keeping coding credentials up to date and active.
• Maintains effective and professional communication skills.
• Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect.
Requirements:
• Must have a minimum of 3 years or more of related coding experience.
• Must be able to code Clinic E&M and CPTs.
• Experience coding Profee, Ophthalmology charts.
• Epic with 3M, 360 experience required.
• Understands medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes.
• Extensive knowledge of ICD-10-CM and CPS and CPT coding principles and guidelines, reimbursement systems, federal, state, and payor-specific regulations and policies pertaining to documentation, coding, and billing.
• Must pass a coding proficiency test.
• Requires strong interpersonal communication skills, both verbal and written.
• Requires a high level of coding accuracy and attention to detail.
• Strong knowledge of Microsoft Word, Excel, PowerPoint, and Outlook is required.
Benefits:
• healthcare
• 401k
• paid time off