Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders.

Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders.

Education

• H.S. Diploma or General Education Degree (GED) Required


• Coding Certificate program, AAPC or AHIMA accredited Preferred

Work Experience

• No experience required Required


• Coding experience Preferred

Licenses and Certifications

• None Required

Additional Licenses and Certifications

• RHIA, RHIT, CPC, CPC-A, CPC-H, CCA, CCS-P, or equivalent coding certification Required

Piedmont Healthcare