Responsible for abstracting & coding out-patient medical records as per ICD 9 CM/ ICD 10, CPT and compliance coding guidelines.
Review patient histories, review chart/documentation, consultation and discharge summaries to support codes selected for billing.
Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures.
Enter coding information into electronic billing system
Knowledge of out-patient coding updates and guidelines
E&M coding: Abstracting medical record according to CMS and client specific guideline
Comply with HIPAA and other regulations regarding confidentiality of information
CPC, CCS, CIC desirable.
Preferable certifications: CPC, ICD-10 CM.
Good English Communication
Readiness to work in shifts