Coder Abstractor - Health Information Services - Requisition

All CDC recommended vaccines are required vaccinations sonally, and upon determination of Senior leadership, the Influenza Vaccine may be mandatory; in those years, compliance is required. For all vaccines, Religious Exemptions and Medical Contraindications are available.

Job Summary: Under limited supervision, codes and abstracts patient records using the appropriate coding/abstracting system. Communicates with Medical Staff and hospital staff to improve the documentation to support the coding process.

Essential Functions:

• Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
• Code outpatient (for example day surgery, observation, emergency room, outpatient service, diagnostic) records using the appropriate coding system for diagnoses (ICD-10) and procedures (CPT & PCS)
• Maintain coding quality as evidence by coding accuracy rate.
• Uses the appropriate encoder to optimize reimbursement within the accepted coding guidelines and rules.
• Communication with physicians, physician offices and hospital staff to obtain clarifying documentation for correct coding.
• Applies charges on identified patients (for example ED levels, Infusions, clinic visits) based on the record documentation.
• Assists physicians, physician offices, medical staff and hospital personnel with HIM/coding/charging related questions.
• Assists with other HIM related processes i.e. release of information, deficiency analysis etc. as needed.

Minimum Qualifications
: CCA or equivalent certification. Relevant clinical or medical experience and CCA obtained with 1 year of hire.

Knowledge, Skills & Abilities: Previous experience preferred. Knowledge of electronic record systems; knowledge of medical terminology, anatomy, physiology and disease processes; knowledge of charging processes; adept in ICD-10 and CPT coding; strong interpersonal relationships and skilled in assessing and prioritizing multiple tasks, projects and demands, operating a personal computer utilizing a variety of software applications, keyboarding skills and ability to work independently, as well as to accept direction on given assignments.

Working Conditions: Work is generally performed within an office environment, with standard office equipment available.

Physical Requirements: Constantly sit, see/visual acuity, handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.

Marshall, 200 N. Madison, Marshall, MI 49068