About The Job

• Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
• Collect health information as documented by medical specialists and code them appropriately.
• Abstracts, codes, and sequences the classification of medical and surgical procedures, diagnosis, and treatment modalities on Inpatient and Day Surgeries.
• Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.
• Selects the latest, most accurate and descriptive codes from the listings of:
• International Classification of Diseases, Clinical Modification (ICD-CM)
• American Medical Association Current Procedural Terminology (CPT-4) coding system
• Healthcare Common Procedure Coding System (HCPCS)
• Identifies and reports areas of concern with respect to improper coding and documentation.