Responsible for providing accurate, complete and appropriate coding using ICD-9-CM, ICD-10-CM/PCS and CPT classification systems. Assigns appropriate DRG or APC grouping according to diagnoses specified in the record by the treating provider(s) and in keeping with regulatory requirements. Abstracts relevant clinical and demographic information from the medical record.

Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve.  We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.

To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.

• Codes inpatient medical records for the purpose of quality planning and assessment, reimbursement, research and compliance with Federal regulations according to ICD-10-CM/PCS and CPT-4 classification systems.
• Accurately performs data entry/abstraction on all patients into the applicable computer system.
• Calculates the proper DRG assignment.
• Assists providers with appropriate diagnosis determination as needed.
• Keeps current with coding guidelines, rules and regulations and new codes.
• Refers coding and system questions to the Coding Manager and/or Director in a timely manner.
• Works assigned edit work queues to determine correct coding and modifier assignments on a timely basis.
• Assists with abstraction and retrieval of data for special studies.
• Assists other departments with coding functions as needed.
• Works closely with documentation improvement specialists to get diagnosis specificity and other documentation issues resolved.
• Follows compliance with all laws, regulations, and guidelines of federal and state programs with an emphasis on prevention of fraud, waste and abuse.
• Codes accounts in accordance with all productivity and quality standards established by the organization.
• Performs special assignments as required.

Education Required:  High School Diploma.

Education Preferred:  None.

Experience Required:  One (1) year previous inpatient coding experience with assignment of DRG’s and principle diagnosis and procedure, preferred. 

Licensure: None.

Certifications:  Certification as a Certified Clinical Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), required.  Certification must be obtained within 6 months of hire.

Other: 

• Working knowledge of the ICD-10-CM and CPT coding systems, medical terminology, anatomy and physiology.
• Must have knowledge of the hospital billing process.
• Experience in computer operations.

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Not quite what you are looking for? Submit your information here for general consideration. One of our employment specialists will be in touch with next steps.

EEO Statement: Reid Health is an Equal Opportunity Employer

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