Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.
2503004523 Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship

Include the following. Others may be assigned.

• Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
• Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
• Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Proficient in outpatient diagnosis coding guidelines
• Ability to establish and maintain effective working relationships as required by the duties of the position
• Ability to concentrate and accomplish tasks with explicit accuracy
• Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
• Functional knowledge of facility EMR, encoder and other support software

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

• Required: Minimum two (2) years experience performing outpatient coding in acute care setting
• Required: High school graduate or equivalent
• Preferred: Associate or Bachelor’s Degree in Health Information, Nursing, or other related field, or formal coding classes completed and passe

• Proficient in outpatient diagnosis coding guidelines
• Ability to establish and maintain effective working relationships as required by the duties of the position
• Ability to concentrate and accomplish tasks with explicit accuracy
• Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
• Functional knowledge of facility EMR, encoder and other support softwar