Job: Remote Medical Coder

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Job Title Remote Medical Coder
Category Healthcare, Transcription
Job Information

you will be responsible for providing coding and abstracting services for clients on inpatient, outpatient, physician or emergency room medical records using ICD-9-CM and CPT coding systems.

Duties:

  • Review medical records to identify pertinent diagnoses and procedures relative to the patient’s healthcare encounter.
  • Select the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition.
  • Ensure appropriate DRG assignment.
  • Abstract appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
  • Solicit clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
  • May act as a mentor to training coders and/or new hires by providing education and training.
  • Participate in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management.
  • Maintain current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
  • Maintain effective and professional communication skills.
  • Contributes to a positive company image by exhibiting professionalism, adaptability and mutual respect.
  • Assist in working the QA queue for their assigned client when requested.

Requirements:

  • CCS required; RHIA, RHIT preferred.
  • Excellent verbal and written communication skills.
  • Bachelors or Associates degree preferred.
  • Must have a minimum of 3 years of related coding experience; 5-7 years preferred.
  • Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes.
  • Extensive knowledge of ICD-9-CM and CPT coding principles and guidelines, reimbursement systems, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billing.
  • Must pass coding proficiency test.

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