Job Summary
This position focuses on the meticulous review, coding, and abstraction of outpatient hospital medical records while adhering to the standards set forth by ICD-10-CM, CPT-4, and HCPCS. The individual in this role plays a vital part in ensuring that charge capture is accurate, billing meets compliance standards, and medical documentation is complete as per regulatory mandates.
Responsibilities
- Review and code outpatient hospital records utilizing ICD-10-CM, CPT-4, and HCPCS guidelines.
- Ensure compliance with billing regulations and accuracy in charge capture.
- Manage the completeness of medical documentation aligned with necessary regulatory requirements.
- Collaborate effectively with healthcare teams to enhance documentation processes.
Qualifications
- Professional certification in medical coding is required.
- In-depth knowledge of healthcare regulatory agencies and applicable coding guidelines.
- Proficiency in medical record documentation practices.
- A strong capability to thrive in a team-oriented work environment.
