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Munson Healthcare · 3 weeks ago

Sr. Coder Abstractor - Outpatient Surgery

United States

Full-time

Remote

Mid, Senior Level

2+ years exp

Munson Healthcare is northern Michigan’s largest healthcare system, serving over half a million residents across 29 counties. The Sr. Coder Abstractor will analyze medical records to accurately code and abstract inpatient and outpatient surgery procedures, ensuring compliance with established guidelines and maintaining productivity standards.

Hospital & Health Care

Responsibilities

Analyzes each medical record to determine which items will be coded and abstracted

Accurately codes and abstracts inpatient medical records, per work assignment, meeting expected productivity standards

Accurately codes and abstracts complex outpatient surgery procedures

Assigns ICD10-CM diagnosis, ICD10-PCS procedure codes and CPT-4 procedure codes, per established national, departmental guidelines and AHIMA Code of Ethics

Abstracts and/or edits medical record data as required by departmental guidelines

Assigns and enters charges for ER EM levels, infusions, injections, and procedures per departmental guidelines

Communicates with physicians and Clinical Documentation Integrity Specialists to request clarification and/or additional record information that will ensure correct code assignment, appropriate reimbursement, and compliance with established guidelines

Maintains organized system for personal coding reference material

Participates in educational activities and maintains coding skills

Qualification

ICD10-CM codingICD10-PCS codingCPT-4 codingCCS certificationHealth Information degreeProductivity standardsQuality standards

Required

Associate's or Bachelor's degree in Health Information, or CCS certification with a minimum of 2 years coding experience will be considered

Certification as a Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required

One to three years' previous experience using ICD10-CM and ICD10-PCS coding systems is required

Demonstrated ability to meet productivity and quality standards is required