Summary
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.
Facility Specific : Responsible for coding SDS, Observation, and as needed ED, Diagnostic, and Ancillary records.
Requirements
Educational Requirements
Degree / Diploma Obtained Program of Study Required /
Preferred and / or High School Diploma or EquivalentRequired
Experience Requirements
Minimum Years Required Area of Experience Required /
Preferred and / or
Additional Requirements
1 Year of Outpatient (Acute Care Hospital or Physician) Multidisciplinary Coding and / or Provider E&M Level of Service Coding (Professional Fee Only).
State of Florida Licensure Requirements
Licenses Required /
Preferred and / or Not Required
Certifications / Registration Requirements
Certificates / Registrations Required /
Preferred and / or CPC (Certified Professional Coder)PreferredorCOC (Certified Outpatient Coding)PreferredorCPC-P (Certified Professional Coder-Payer)PreferredorCCS (Certified Coding Specialist)Preferredor
Additional Requirements
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) required.
Minimum of one coding certification (listed above). Other specialty certifications from AAPC or AHIMA will be considered.
Coder II - Facility
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