OP Medical Coder
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Key skills for this role
About the Role
Check and assign the most accurate ICD-9, ICD-10-CM, CPT, HCPCS, DRG, and other applicable codes for documented diagnoses and procedures. Ensure that the final diagnoses and ope.
Key Skills for This Role
Responsibilities
- Assign accurate ICD 10, CPT, HCPCS, DRG codes for documented diagnoses and procedures
- Evaluate medical records for documentation consistency and adequacy
- Compute and assign correct DRG coding for inpatient cases
- Provide training and guidance to coders and Medical Records Technicians
- Ensure coding complies with HAAD guidelines and regulations
- Provide feedback to physicians regarding coding errors or discrepancies
Requirements
- Experience in medical coding with ICD 10, CPT, HCPCS, DRG
- Knowledge of HAAD guidelines and regulations
- Ability to train and guide coders
- 2 4 years of experience (implied by source metadata)
Full Job Posting
Key Responsibilities
- Check and assign the most accurate ICD 9, ICD 10 CM, CPT, HCPCS, DRG, and other applicable codes for documented diagnoses and procedures.
- Ensure that the final diagnoses and operative procedures documented by the physician are valid and complete.
- Abstract all necessary information from health records to identify secondary complications and co morbid conditions.
- Evaluate medical records for documentation consistency and adequacy, ensuring the final diagnosis accurately reflects the care and treatment provided.
- Compute and assign the correct DRG coding for all inpatient cases.
- Provide training and guidance to coders and Medical Records Technicians, updating them on new coding rules and regulations as required.
- Analyze physicians' documentation to ensure appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT codes.
- Ensure coding complies with HAAD guidelines and regulations.
- Provide feedback to physicians regarding coding errors, discrepancies, or documentation oversights.
- Stay up to date with the latest coding versions and HAAD coding directives.
Additional Duties
- Perform miscellaneous job related duties as assigned.
- Comply with all OSH and infection control policies, standards, and procedures.
- Attend applicable OSH and infection control training programs, mock drills, and awareness sessions.
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