The HIM Coder codes and abstracts clinical and demographic data from Inpatient/Outpatient Surgery/Observation patient records to support reimbursement and reporting. Assists in maintaining accurate and complete medical records in accordance with hospital policies and procedures. Reviews records for completeness, accuracy and compliance with regulations.Foothill Regional Medical Center is a fully accredited acute care hospital, licensed for 177 beds-120 beds for general acute care, 15 intensive care beds and 42 pediatric sub-acute beds. Our pediatric sub-acute unit, just one of six in California, serves patients from throughout the state. We care for patients up to 21 years of age who need long-term sub-acute care including ventilator care and nutritional support.Minimum Education: High School Diploma or GED required.
Minimum Experience: Two (2) years as an Inpatient/Outpatient Surgery/ Observation coder in an acute care hospital in the state of California. Excellent written and verbal communication skills in English. Ability to multitask and maintain a work pace appropriate to workload. Computer literacy and proficiency. Must demonstrate customer service skills appropriate to the job.
Reviews, codes and abstracts, utilizing ICD-10 and CPT coding conventions, electronic health records of hospital(s) and clinic(s) patients, both retrospectively and concurrently, in a manner consistent with administrative, ethical, legal and regulatory requirements and to meet company established DNFB standards. Monitors incoming records daily and provides timely coding according to policy. Maintains strictest confidentiality of protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Reviews the medical record to assure specificity of diagnoses, procedures and appropriate / optimal reimbursement for hospital and/or professional charges. Ensures DRG/APC assignment is accurate. Follows through and requests missing documents/information. Maintains coding data quality and integrity.
Abstracts information and statistical data from coded records. Ensures timely completion of history & physical and operative/procedure reports in accordance with governing / regulatory / accrediting agencies regulations.
Accurately prepares documents/forms/queries and ad hoc report/projects in a timely manner. Reads and responds to emails in a timely manner.
Reviews, codes and abstracts, utilizing ICD-10 and CPT coding conventions, electronic health records of hospital(s) and clinic(s) patients, both retrospectively and concurrently, in a manner consistent with administrative, ethical, legal and regulatory requirements and to meet company established DNFB standards. Monitors incoming records daily and provides timely coding according to policy. Maintains strictest confidentiality of protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Reviews the medical record to assure specificity of diagnoses, procedures and appropriate / optimal reimbursement for hospital and/or professional charges. Ensures DRG/APC assignment is accurate. Follows through and requests missing documents/information. Maintains coding data quality and integrity.
Abstracts information and statistical data from coded records. Ensures timely completion of history & physical and operative/procedure reports in accordance with governing / regulatory / accrediting agencies regulations.
Accurately prepares documents/forms/queries and ad hoc report/projects in a timely manner. Reads and responds to emails in a timely manner.
