Assigns ICD-9 and CPT codes for inpatient and/or outpatient episodes of care as well as performs medical record audits as required. This position is essential to the success of the facility.

• Encompasses all aspects of medical coding for hospital services including office, outpatient hospital and inpatient services.
• Understands ICD-10, CPT, HCPCS codes and the rules and regulations related to such codes and specific payers as required.
• Interprets insurance guidelines relative to medical coding, and reading a medical chart.
• Understands daily balancing techniques, abbreviations and medical terminology, basic components of medical and laboratory procedure.
• Identifies targeted services and reports to auditing manager or may perform audit to include E & M coding documentation, review charge patterns and diagnosis coding.
• Assures ABN compliance.
• Educates providers to improve accuracy of chart coding by advising them on proper code selection, required documentation and procedures, identifies performance issues and brings issues to the attention of the appropriate supervisor.
• Performs charge auditing and charge capture.
• May perform other duties as assigned or requested

Regulatory Requirements:

• Certified Professional Coder (CPC), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) required.
• High School diploma or GED required.
• One year of Coding experience preferred.