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Essential Functions

Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record

documentation to assign accurate ICD-10 diagnosis and CPT procedure codes.

  • Utilizes practice management system (PMS) to accurately account for demographics and services performed for all


scheduled and unscheduled surgical cases according to standard procedures and coding guidelines.

  • Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents


and demographics required for appropriate coding and billing for all hospital procedures.

  • Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve


accurate billing. Maintains effective communication with providers concerning coding issues.

EDUCATION

  • High school diploma/GED or equivalent working knowledge preferred.
  • Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional


Coders (CPC)

Experience

  • At least three years of experience in provider coding and medical terminology with extensive knowledge of ICD-10, CPT, and


HCPC coding required.

  • Preferred specialty experience in areas of Orthopedics, Neurology, Physical Medicine, and Rehabilitation or Pain


Management.

Requirements

  • A minimum of one of the following credentials: CCS-P or CPC.
  • Meets established coding and abstracting quality and productivity standards.
  • Experience with various coding software. Previous experience with remote coding is preferred. Possesses PC skills, both


keyboarding and applications.

  • Requires a good understanding of anatomy, physiology, medical terminology, and disease processes.
  • Ability to work independently.
  • Excellent attention to detai

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