ED Abstractor-Certified Coder

Job Summary:

The Emergency Department Abstractor/Coder abstract the chargeable services for emergency room and observation patients including the assigning of E&M levels, bedside procedures and infusion/injection charges using integrated software in the electronic medical records system additionally as work flow allows the abstractor/coder will be assigned to code the ICD-10 diagnoses codes assisting the coding departments. Actively and consistently contributes to department operations and communications, behaves in a manner consistent with the mission, vision, and values of Pipeline Health, upholding standards of AIDET (Acknowledge, Introduce, Duration, Explanation, Thank you) patient communication.

Essential Functions:

• Review EHRs systems for patients who have been treated in the emergency department (ED) or Observation Units
• Assign and process charges including E&M levels, procedures, and infusion/injections
• Participate in data quality audits.
• When needed will assign ICD-10 diagnosis coding using all accepted coding guidelines
• Identify issues with documentation and communicate them with their lead and the Charge Services Supervisor
• Stay up to date on clinical data abstraction guidelines and procedures.
• Uses clear, concise, professional communication with coworkers, patients, all customers internal and external.
• Uses AIDET in interactions with patients and family members.
• Acts with a sense of urgency when performing tasks.
• Basic unit/department maintenance such as keeping files, drawers, cabinets free from unnecessary clutter.
• Reports on any equipment and or environmental issues for repair.
• Abides by HIPAA (Health Insurance Portability and Accountability Act) regulations.
• Speaks up to stop the line and escalates potential safety events if necessary.
• Completes and attends monthly training assigned.
• Other duties as assigned.