Requires 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 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 a mixture of different types of Evaluation & Management medical records and assists with coding outpatient ancillary clinic, specialty clinic, surgical and emergency room record coding as necessary. Communicates with physicians and other providers regarding documentation requirements and collaborates with different departments on an as needed basis. Maintains current knowledge of coding and documentation changes, rules and guidelines.
CCS or CPC with (1) year minimum current and continuous full-time ICD-10-CM & CPT-4 evaluation & management coding
Knowledge of medical terminology, anatomy and physiology and the disease process
Ability to work well independently and productively with minimal guidance and supervision
Detail-oriented, organized and flexible with exceptional interpersonal and communication skills
Demonstrates coding skills and critical thinking skills utilizing current policies and procedures
RHIA or RHIT
Knowledge of health insurance processing
Skilled with electronic medical record applications, automated encoders, and other software applications
Licensure, Registration and/or Certification:
Certified Coding Specialist (CCS) required or Certified Professional Coder (CPC) required
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred
Internal Number: 38273
About Cook Children's Health Care System
Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.