Responsible for accurately and timely coding patient encounters independently following established coding, CMS regulations and hospital guidelines.   Reviews outpatient (ASU/OBS) and/or inpatient medical records, accurately codes diagnostic and procedural information following coding guidelines and regulations.

Essential Duties:

1. Reviews complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines. 
   • Responsible for accurately coding outpatient ASU/OBS or inpatient encounters. 
   • Maintains productivity and quality rate according to established standards.
   • Supports Clinical Documentation Improvement program.
   • Ensures optimal DRG and/or ASC/APC/APG assessment.
   • Works within UH Billing time frames.
   • Maintains updated knowledge of guidelines and regulations affecting the UHHS Coding Department.
   • Assists with other responsibilities as needed

Responsible for accurately and timely coding patient encounters independently following established coding, CMS regulations and hospital guidelines.   Reviews outpatient (ASU/OBS) and/or inpatient medical records, accurately codes diagnostic and procedural information following coding guidelines and regulations.

Essential Duties:

1. Reviews complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines. 
   • Responsible for accurately coding outpatient ASU/OBS or inpatient encounters. 
   • Maintains productivity and quality rate according to established standards.
   • Supports Clinical Documentation Improvement program.
   • Ensures optimal DRG and/or ASC/APC/APG assessment.
   • Works within UH Billing time frames.
   • Maintains updated knowledge of guidelines and regulations affecting the UHHS Coding Department.
   • Assists with other responsibilities as needed

Education

Associates degree required. Preferably in HIM.  Bachelor's degree preferred.

Required Certifications 

One of the following coding certifications required:  CPC, CCS,  RHIT, or RHIA

Experience

2+ years ICD-10 CM, PCS and/or CPT coding experience preferred.  Medical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge required.