The Clinic Coder 1 abstracts clinical information from various medical records to assign ICD-10 and CPT-4 codes to patient records. The role involves standardizing coding procedures, validating assignment of codes, communicating with HIM staff, and assisting with coding related to reimbursement and documentation. The position relies on clear guidelines and close supervision.
Requirements
- Determine sequencing of diseases, diagnoses, and surgeries using ICD-10-CM and CPT-4 guidelines.
- Accurately assign codes to ambulatory, observation, emergency, and outpatient record.
- Maintain an accuracy rate of not less than 93%.
