Assumes responsibility for accurately coding and abstracting medical records of discharged patients for reimbursement purposes and to establish statistical indices and data sources used for research studies, surveys, and medical audits.
Base Pay Scale: Generally starting at $39.56 - $49.45 per hour
- Codes a wide variety of principal and secondary diagnoses and procedures according to the latest adaptation of the International Classification of Diseases (ICD-9-CM) and CPT4 coding and according to official coding guidelines and UHDDS definitions.
- Relies of knowledge of anatomy, physiology, disease processes, and medical terminology in searching the medical chart in order to complete properly sequence the coding of diagnoses and procedures.
- Assigns CPT4 procedure codes on appropriate Medicare and Medi-Cal inpatient charts and outpatient charts.
- Abstracts data elements on-line according to department guidelines, abstracting requirements, hospital and department needs.
- Abstracts pertinent data from medical charts according to criteria established by the office of Statewide Health Planning and Development (OSHPD), Medical Staff for individual physicians for various studies.
- RHIA (Registered Health Information Administrator)
- RHIT (Registered Health Information Technician)
- CCS (Certified Coding Specialist)
- Medical Terminology