PRN - Health Information Coder II, Peridot
RequirementsThree years of coding experience using ICD-10-CM/PCS, requiredThree years of hospital or clinic experience, with emphiases on RPMS and Emergency Department, requiredHigh School Diploma or GED equivalent, requiredCCS, 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 guidelinesAbstracts and enters clinical data from the medical record into RPMSConcurrently reviews and interprets medical record documentation in both hard copy and computerized formats to determine the diagnoses and procedures for specified visitsCorresponds with medical staff and other providers regarding records with omissions and/or inconsistencies to ensure timely completion for proper quantitative analysisDetermines principal diagnosis and procedure and properly sequences all secondary diagnosesAbstracts data for benchmarking, quality assessment or other studies.Receives and responds to requests for release of confidential medical records information; verifies confirmation of release authorizationParticipates in departmental orientation, on the job training and quality assurance programs/initiativesParticipates in a variety of department and hospital educational programs to maintain current skill and competency levels; identifies and discusses performance or training needs with SupervisorPreforms other duties as assigned
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