- Jackson, Tennessee, United States
Hospital Coding Specialist III is responsible for the coding and optimization of electronic medical records.
Responsibilities
- Reviews electronic medical records and identifies all treated diagnoses and significant procedures performed.
- Uses coding software to assign ICD-10-CM diagnosis and ICD-10-PCS procedure codes, Present on Admission Indicators, and CPT codes and modifiers when indicated, to ensure coding accuracy, DRG optimization and APC accuracy.
- Sequences diagnosis codes according to the definition of principal diagnosis and other co-morbid conditions and complications.
- Sequences procedure codes according to the definition of principal procedure and other procedures.
- Utilizes online coding references, CMS Local Coverage Determinations (LCDs), and other payor guidelines to ensure appropriate code assignment for Compliance, Billing, and Medical Necessity.
Requirements
- RHIA, RHIT, or CCS certification or a Health Information program accredited by AHIMA