Description:
Medical Records Coder will be responsible
for interpreting a wide variety of clinical and diagnostic
documentation
Job Responsibilities:
Reporting
to the Director, Health Information Management Systems,
the Medical Records Coder will be responsible for interpreting
a wide variety of clinical and diagnostic documentation,
to include most complex medical treatments, identifying
diagnoses, complications, co-morbidities, and procedures
for episodes of inpatient care.
Also responsible
for assigning appropriate ICD-9-CM and/or CPT-4 codes
according to Coding Clinic Official Coding Guidelines
and DRG (Diagnostic Related Group) to each coded inpatient
account to obtain optimal hospital reimbursement. Work
with physicians on coding to provide ongoing education
to physicians on coding and documentation requirements.
Provide feedback to physicians on one to one
basis on the need for complete documentation in the
medical record, to assure fair reimbursement for treatment
of patient conditions. Reinforce the need to safeguard
the privacy of health information in the medical record.
Attend meetings and educational conferences, assuring
personal responsibility for professional development
and ongoing education to maintain proficiency.
Adhere
to and enlarges upon coding policies and procedures
in accordance with AHIMA's code of Ethical Conduct
and AHIMA's Standards of Ethical Coding.
Requirements:
High
school diploma or equivalent is required. Must have
extensive knowledge of ICD-9-CM diagnosis and procedure
coding with 3 - 5 years inpatient coding experience.
Knowledge of coding principles, conventions and RHIA/RHIT/CCS
certification required. Knowledge of DRG Grouper software
and ability to organize/prioritize workload to meet
strict deadlines also required. Must be flexible and
a team player.
jobs@hrca.harvard.edu
