- Thoroughly read and interpret the documentation contained in every medical record to identify all diagnoses and procedures to which codes must be affixed.
- Assess the adequacy of documentation to ensure that it supports the principle diagnosis, principle procedure, complications and comorbid conditions assigned codes.
- Demonstrates a strong familiarity of diagnostic and procedural terminology.
- Ability to apply knowledge of disease processes and to index medical terms/procedures to the appropriate class in the classification system.
- Apply knowledge of ICD-10-CM instructional notations and conventions to facilitate location of the correct code (s) for each episode of care.
- Facilitate comprehensive retrieval by recognizing when more than one code is required to adequately code a given condition.
- Apply knowledge of ICD-10-CM coding principles to completely and correctly code episodes of patient care.
- Enter and edit patient data for assigning DRG's in the Grouper, following approved guidelines for coding and sequencing.
- Enter and edit patient data into computerized abstracting system for in-patients and outpatients as assigned.
- Utilize accurate CPT codes for the procedural coding of ambulatory surgery patients.
- Follow all coding guidelines, rules and regulations when assigning codes.
- Adheres to all organizational policies and procedures
- High School Diploma or GED
- CCS or CCS-P required
- Minimum one year preferred experience with hospital ICD-10-CM and CPT Coding. A coding certificate from an approved program.
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Inpatient Coder-Cert - Bethpage, United States - Catholic Health Service
Description
OverviewCatholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.
At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time.
We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace
Responsibilities
Position Responsibilities:
USD $ USD $40.45 /Hr.
Qualifications
This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.
At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.