Under the general direction of the Manager-Coding & Statistics, effectively ensures ongoing training and orientation of new coding staff and assists with continuing education for existing staff in regards to coding guidelines and current procedures. Responsible for monitoring compliance in the areas of coding and billing audits, clinical pertinence chart review, and other special studies/projects as assigned. Minimum of five (5) years’ experience in coding acute care medical records with two (2) years outpatient coding. Strong knowledge of ICD-10-CM/PCS and CPT 4 coding, anatomy and physiology, medical terminology and the various medical specialties as required to accurately code all different types of medical records. Must be able to effectively coordinate staff training and continuing education. Must be able to work well independently. Must have proven problem solving ability. Excellent written and oral communication skills. Knowledge of medical necessity guidelines and their impact on the accurate coding of patient records. RHIA/RHIT or work related experience in an acute care hospital and outpatient coding. Medical terminology, anatomy and physiology, familiarity with medical record content and an understanding of the UHDDS definitions. Knowledge of ICD-10 CM/PCS, CPT and HCPCS coding principles for IPPS, OPPS and APCs. Job requires motor coordination in order to operate computer terminals. Work varies from sedentary to very mobile. Speech, sight and hearing required as incumbent must work independently in effectively training and monitoring coding functions.
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