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• Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information
• Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications
• Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures
• Follows procedures mandated by government and other payers for completion of coded data including APC assignments.

* Experience in ProFee Surgery coding preferred

Facility Specific: Responsible for coding SDS, Observation, and as needed ED, Diagnostic, and Ancillary records.

Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary records.

• CRC (Certified Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered Health Information Technician) required -or- RHIA (Registered Health Information Administrator)
• Minimum of one coding certification
  • CPC (Certified Professional Coder)
  • COC (Certified Outpatient Coding)
  • CPC-P (Certified Professional Coder-Payer)
  • CCS (Certified Coding Specialist)
• Other specialty certifications from AAPC or AHIMA will be considered.