- Overseeing the assignment of codes for all inpatient and outpatient medical records using the appropriate coding system.
- Assists members of the medical staff in identifying the principal diagnosis and sequencing secondary diagnoses and procedures for optimal reimbursement.
- Ensures coding is compliant with productivity and quality.
- Maintains appropriate A/R days and/or late charges through collaboration with providers to complete charts timely.
- Remains informed about coding issues to comply with federal regulations.
- Provides education and follows up on coding issues with other departments, physicians, and coding staff.
- Has the authority and responsibility to hire, transfer, suspend, lay off, recall, promote, discharge, assign, reward, discipline, direct, or recommend such actions by using independent judgment.
- Completes and conducts employee performance evaluations based on direct observation of their employee’s job performance.
Requirements
- Completion of formal program for accredited record technician or certification in coding required.
- A minimum of 5 years’ experience in diagnosis and procedure coding in a hospital medical records department using ICD-10-CM, ICD-10-PCS and CPT coding guidelines.
- Must know coding rules, DRG rules, medical terminology, CCI edits, MRPs, computer knowledge (Windows based), anatomy, physiology, medical tests, and drug therapy as related to disease, and be able to communicate (written and oral) with physicians.
Core Competencies
Demonstrates expertise in medical coding, including ICD-10-CM, ICD-10-PCS, and CPT guidelines, while ensuring compliance with federal regulations. Capable of providing education and support to medical staff and managing coding staff performance effectively.
Highest-signal resume keywords
- ICD-10-CM Coding
- ICD-10-PCS Coding
- CPT Coding
- Medical Terminology
- Coding Compliance
ATS Optimization Keywords
Hard Skills
- Diagnosis Coding
- Procedure Coding
- DRG Rules
- CCI Edits
- Anatomy Knowledge
- Physiology Knowledge
- Medical Tests Knowledge
- Drug Therapy Knowledge
Soft Skills
- Communication Skills
- Leadership Skills
- Collaboration Skills
Certifications & Qualifications
- Accredited Record Technician Certification
- Coding Certification
Industry Keywords
- Medical Records
- Inpatient Coding
- Outpatient Coding
- A/R Management
- Quality Compliance
Tools & Technologies