RESPONSIBLE FOR:
Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical
diagnostic and complex procedural information for general surgical specialties for the correct ICD-10,
CPT and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into
the information system accurately and completely. Reviews documentation for medical necessity. Audits
orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses
records and prepares reports. Provides technical guidance to physicians and other departmental staff in
identifying and resolving issues or errors. Develops effective working relationship with physicians and
other stakeholders. Primary coding responsibility is diagnostic and complex procedural and surgery
coding.
MINIMUM EDUCATION REQUIRED:
High school diploma or equivalent required.
MINIMUM EXPERIENCE REQUIRED:
Coding experience required.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
ADDITIONAL QUALIFICATIONS:
One or more certifications required: CPC, CPC-A, CPC-H, RHIA, RHIT, CCS, CCA, CCS-P.
Coding Certificate program (AAPC accredited preferred).
Experience in coding across multiple specialties and remote coding experience is a plus.