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.
Clarke County Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


