The Coder/Abstractor accurately codes, sequences and abstracts inpatient, outpatient, and emergency department records according to ICD-10-CM, CPT, and PCS coding guidelines. Analyzes code assignment for correct DRG calculation to achieve optimal and timely reimbursement. Abstracts medical record information into hospital database and registries for statistical quality data and fiscal reporting. Queries physician for clarification of documentation. Performs duties within approved practices, exercising independent judgment within pre-determined guidelines.

Required Skills

Skills:

1. Knowledge of Health Information Systems practices, procedures, and guidelines.

2. Ability to analyze and solve problems.

3. Ability to seek out new methods and principles to improve services.

4. Ability to utilize verbal and written communication skills effectively.

5. Ability to use interpersonal, presentation and project management skills.

Required Experience

Minimum Position Requirements

Work Experience:

• One (1) year hospital inpatient coding experience required.

License/Registration/Certification:

• AHIMA Certified Coding Specialist (CCS) preferred or AAPC Certified Professional Coder (CPC) with two (2) years of hospital inpatient coding experience.

Education and Training:

• High School diploma or equivalent.

Skills:

1. Knowledge of Health Information Systems practices, procedures, and guidelines.

2. Ability to analyze and solve problems.

3. Ability to seek out new methods and principles to improve services.

4. Ability to utilize verbal and written communication skills effectively.

5. Ability to use interpersonal, presentation and project management skills.