Copyright 2021 Cook Children's Health Care System, Fort Worth, Texas
Requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the medical record abstract data base system for billing and use in all types of CCHCS reporting. Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary. Minimum expected accuracy rate for all coding assignments is 95%. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy. Maintains current knowledge of coding and documentation changes, rules and guidelines.
Education & Experience:
Licensure, Registration, and/or Certification:
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.
*Position is remote-friendly within the state Texas*
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.