Job SummaryThe Medical Records/Specialty Coder codes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated system.
To provide guidelines for adherence to the Corporate Compliance Initiatives regarding the requirements applicable to Medicare's Prospective Payment System for long-term care facilities.
Code all admissions within 1 business day of registration based on the presence of the history and physical.Code discharge patient records within four business days of discharge with accounts with total charges of greater than $250,000 as first priority.
Correspond with CCDI regarding coding and documentation issues utilizing Collaborate daily.
High School or equivalency diploma or satisfactory completion of a college certificate program in Medical Records Coding of at least 30 credits.
3 years' experience as a medical records coder in a health care facility; or satisfactory completion of a college certificate program in Medical Records Coding of at least 30 credits, and one year of experience working with medical records in a medical records unit in a health care facility; or two years' experience equivalent combination of the training and experience.
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