Procedures, evaluations, abstracts, codes and indexes diseases, operation, treatments on clinic, emergency room and repeating medical records, ensuring governmental compliance on regulative concerns.
Educational Requirements:
High School Diploma or comparable.
Should have the ability to communicate successfully in English, both verbally and in writing.
Knowledge/Skills/Abilities:
Ideally a minimum of one year coding in a Severe Care Medical Records setting, or knowledge of most current ICD, CPTs, charging and other coding terminology and functions.
Capability to analyze medical record, concentrate and maintain precision in spite of interruptions, initiative, to use standard workplace equipment and to maintain confidentiality with regard to aspects of work.
Knowledge of medical terms, anatomy, coding/classification systems, repayment principles, and coding software preferred.
Organizational skills and excellent interaction abilities to assist physicians in questions regarding documentation of diagnostic entries, according to Joint Commission/HCFA and healthcare facility guidelines.
Responsibilities and Responsibilities:
Evaluations and codes all medical diagnoses according to ICD-10- CM coding classification systems and regulatory guidelines. Keeping a 95% or higher quality rating.
Reviews and codes all treatments according to ICD-10- CM coding category systems and regulatory guidelines. Keeping a 95% or greater quality score.
Evaluations and codes all treatments according to CPT-4 coding classification systems and regulative standards. Preserving a 95% or greater quality ranking.
Reviews and adds charges on inpatient and outpatient charts.
Shows a constant level of efficiency; makes every effort to keep a minimum performance that is set per chart type.
Abstracts and indexes medical records, according to governmental compliance and health center guidelines.
Supports and takes part in conference department objectives.
Displays professionalism and courtesy in assisting doctors and other departments in issue resolving.
Validates and processes Medicare 72 hour messages to guarantee proper account handling
Performs all other tasks/responsibilities as needed.
Physical Requirements:
The staff member may be required to stroll, sit or mean extended amount of times anywhere from 1-4 hours.
Capability to assemble and prepare 200 pages per hour, and scan and prep 500 pages per hour
Reach with hands and arms.
Have the ability to balance and stoop.
Talk and hear
Have enough manual mastery to operate a copier/scanner over and over again, keyboard, calculator, telephone and other such workplace equipment as required.
Consistently move and/or raise to 25 pounds.
Particular visual abilities needed by the task consist of close vision, distance vision, color vision, peripheral vision, depth understanding, and the ability to change focus and have the ability to take a look at computer system screens for extended periods of time.
United Regional.
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