Job Summary

Codes diagnoses and procedures of inpatient records and abstracts information at defined facilities for reimbursement, research, and to generate statistical data. Performs other duties as assigned.

Job Responsibilities

• Codes diagnoses and procedures of records pertaining to inpatient records.
• Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies.
• Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc.
• Completes assigned goals.

Minimum Required Experience

Skill and proficiency in coding inpatient records utilizing ICD10 CM with one year experience in an acute care facility or RHIT/RHIA/CCS certification through AHIMA.

Minimum Required Education

Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties.

Minimum Required Training

ICD10CM Diagnosis and Procedure Coding

Preferred/Desired Licensure

One of the following: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).