<p>General Summary of Position</p> <p>Codes and abstracts primarily Ambulatory Surgery records and other outpatient records using ICD-10-CM, and other applicable patient classification schemes.</p> <p>Primary Duties and Responsibilities</p> <p>Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.Adhere to all compliance regulations and maintains annual compliance education.Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.Meets established Quality standards as defined by policies.Meets established Productivity standards as defined by policies.Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic, procedural codes, and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.Exhibits knowledge of the 3M system and other work-related equipment.</p> <p>Minimum Qualifications</p> <p>Education</p> <ul> <li>High School Diploma or GED required </li><li>Associate's degree or Bachelor's degree in coding related degree preferred </li><li>Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and CPT-4 required </li></ul> <p>Experience</p> <ul> <li>2 years ASU (Ambulatory Surgery) coding experience and experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) required </li></ul> <p>Licenses and Certifications</p> <ul> <li>CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist-Physician-based) required or COC (Certified Outpatient Coder) required </li><li>RHIT (Registered Health Information Technician) preferred and/or RHIA (Registered Health Information Administrator) preferred </li></ul> <p>Knowledge, Skills, and Abilities</p> <ul> <li>Verbal and written communication skills. </li><li>Basic computer skills required. </li></ul> <p>This position has a hiring range of $28.2 - $47.3</p>