Remote Inpatient Coder & Medical Records Abstractor

MedicalVirtual; Village of Margaretville (NY); Remote; USD 42,000 - 64,000; Full time

Job summary

MedicalVirtual in Margaretville, NY is seeking a Medical Records Abstractor to review inpatient and outpatient records for ICD-10-CM diagnoses and ICD-10-PCS/CPT-4 procedures as applicable. The role involves accurate data entry into U.D.S.

and Paragon, collaboration with physicians, and participation in coding audits to ensure quality. Requirements include 1+ year in a Medical Records/HIM setting, High School diploma, and coursework or certification in medical terminology and coding; an

Qualifications

• Knowledge of ICD-10-CM/PCS coding principles and outpatient/inpatient coding.
• Experience with medical record abstracting and charge capture.
• Familiarity with coding audits and PI monitors.

Responsibilities

• Review medical records for accurate ICD-10-CM diagnosis coding.
• Identify principal and secondary diagnoses with accuracy.
• Code ICD-10-PCS procedures and CPT-4 procedures when applicable.
• Abstract data into U.D.S. and Paragon systems accurately.
• Assist abstractors and notify supervisor of data entry issues.
• Support coding audits and trend data with the Coding Manager.
• Maintain professional rapport with physicians to clarify coding questions.

Skills

Medical terminology

Coding knowledge

Attention to detail

Data entry

Education

High School Diploma or Equivalent

Associate’s Degree in Medical Records Technology or related field

Tools

Paragon system

U.D.S.

Job description

MedicalVirtual in Margaretville, NY is seeking a Medical Records Abstractor to review inpatient and outpatient records for ICD-10-CM diagnoses and ICD-10-PCS/CPT-4 procedures as applicable. The role involves accurate data entry into U.D.S.

and Paragon, collaboration with physicians, and participation in coding audits to ensure quality. Requirements include 1+ year in a Medical Records/HIM setting, High School diploma, and coursework or certification in medical terminology and coding; an