Summary
Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments and HCC codes.
Facility Specific: Responsible for coding ED, Diagnostic, and Ancillary records.
Professional Fee: Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary Records.
Requirements
Educational Requirements
| Degree/Diploma Obtained | Program of Study | Required/ Preferred | and/or |
| High School Diploma or Equivalent | Required | ||
Experience Requirements
| Minimum Years Required | Area of Experience | Required/ Preferred | and/or |
| 1 Year | Outpatient Coding | Preferred | |
Additional Requirements
1 Year of Outpatient (Acute Care Hospital or Physician) Coding or completion of coding course
State of Florida Licensure Requirements
| Licenses | Required/ Preferred | and/or |
| Not Required | ||
Certifications/Registration Requirements
| Certificates/Registrations | Required/ Preferred | and/or |
| CPC (Certified Professional Coder) | Required | or |
| COC (Certified Outpatient Coding) | Required | or |
| CPC-P (Certified Professional Coder-Payer) | Required | or |
| CCS (Certified Coding Specialist) | Required | or |
Additional Requirements
CRC (Certified Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered Health Information Technician) required -or- RHIA (Registered Health Information Administrator) required. Minimum of one coding certification (listed above). Other specialty certifications from AAPC or AHIMA will be considered.
US:FL:Cape Coral