
Medical Coder
3 hours ago
Coding and abstracting medical records according to Tenet/Conifer's quality standards. ·
- Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
- Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
- Coding Quality: Accurately codes and abstracts clinical information from the medical record, in accordance with established coding quality guidelines.
- Coding Labor Productivity: Meets and/or exceeds Tenet/Conifer's coding productivity guidelines set for each specific patient type.
- Professional Development: Stays current with CMS Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Attends mandatory coding seminars on annual basis for inpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls.
- Communicates and resolves coding issues (lacking documentation, physician queries, missing documentation, second level review, etc.) for timely and appropriate follow-up and resolution.
Required:
- Proficient in inpatient diagnosis coding guidelines · Proficient in ICD-10-PCS code assignment
- Knowledge of MS-DRG and APR DRG classification and reimbursement structures
- Understanding of appropriate level of care orders · Proficient at writing AHIMA complaint physician queries
- Working knowledge of the Inpatient Prospective Payment System (IPPS)
- Functional knowledge of facility EMR, encoder and other support software · Works collaboratively with CDI, Quality and other facility leadership
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