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JOB SUMMARY
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Performs coding and abstracting duties of inpatient records within Medical Records Department. Reviews for completeness of documentation to substantiate diagnosis and procedures. May perform other duties within the department as assigned. Preforms functions required under the Clinical Documentation Improvement Program, which includes interaction with the CDI monitor tool.
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QUALIFICATIONS
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Education
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High School education.
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Graduate of medical records program with either a credential of CCS/RHIT preferred or eligible to sit for credentialing exam. Courses in Medical terminology, Anatomy and Physiology and Pathophysiology.
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Training and Experience
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Previous medical records coding in an acute care setting preferred. Must be familiar with medical records documentation. Preferred familiarity with the MS-DRG system. Data entry ability. Pass coding test with 85% accuracy.
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Health and Background Requirements
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Employment contingent upon successful completion of:
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Physical
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Background Check
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Must be physically able to perform all job duties as assigned.
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