Health Information Coder II

San Carlos Apache Healthcare Corporation | Peridot, AZ

This is the Custom Content area
Posted Date 7/21/2020

PRN - Health Information Coder II, Peridot

Three years of coding experience using ICD-10-CM/PCS, required
Three years of hospital or clinic experience, with emphiases on RPMS and Emergency Department, required
High School Diploma or GED equivalent, required
CCS, CCS-P- or CPC certification, required

The Health Information Coder II performs complex technical and related duties to review, abstract and code on medical information from a variety of hospital data sources.

ESSENTIAL FUNCTIONS (include, but not limited to the following)

Assigns diagnosis and procedure codes by reviewing health records/information to ascertain all appropriate diagnosis and/or procedures for ICD-10-CM/CPT/HCPCS designation

Determines the content and validity of physician written orders to ensure an accurate diagnosis is in accordance with coding guidelines
Abstracts and enters clinical data from the medical record into RPMS
Concurrently reviews and interprets medical record documentation in both hard copy and computerized formats to determine the diagnoses and procedures for specified visits
Corresponds with medical staff and other providers regarding records with omissions and/or inconsistencies to ensure timely completion for proper quantitative analysis
Determines principal diagnosis and procedure and properly sequences all secondary diagnoses
Abstracts data for benchmarking, quality assessment or other studies.
Receives and responds to requests for release of confidential medical records information; verifies confirmation of release authorization
Participates in departmental orientation, on the job training and quality assurance programs/initiatives
Participates in a variety of department and hospital educational programs to maintain current skill and competency levels; identifies and discusses performance or training needs with Supervisor
Preforms other duties as assigned

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