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AI Summary
The coder is responsible for coding diagnoses and procedures of inpatient records and abstracting information for reimbursement and statistical purposes. They also serve as a resource to various medical staff and complete assigned goals.
Job Summary
Codes diagnoses and procedures of inpatient records and abstracting information at defined facilities for reimbursement, research, and to generate statistical data. Performs other duties as assigned.
- 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.
Experience
Minimum Required
- Skill and proficiency in coding inpatient records utilizing ICD CM and CPT through a minimum of 2 years experience in an acute care facility, 4 years preferred..
Education
Minimum Required
- 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.
Training
Minimum Required
- ICD-CM Diagnosis and Procedure Coding.
Preferred/Desired
- CPT Coding
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