Tufts Medical Center
Boston, MA
Department::Health Information Management
Schedule:Full-Time Regular
Shift:Day shift
Grade:9.0
Hours:M-F, 40 hrs/week, 8:00 am- 4:30pm
Contact Information:
Address: 800 Washington St. Box 795 Boston, MA 02111
Job Details:
Associate's degree is preferred
Licensure Preferred
Experience is required
Under the general direction of the Coding Manager, the Coder reviews the medical record to verify diagnosis and procedures, and codes the same using appropriate coding classification system. Verifies codes for statistical and reimbursement purpose; performs complete chart review; assigns ICD-9 CM and/or CPT codes in accordance with coding and reimbursement guidelines.
RESPONSIBILITIES
Assists in obtaining final diagnosis and contacting physicians for clarification of documentation when needed.
Verifies and abstracts specific clinical and demographic data. Verifies the DRG assignment, paying special attention to DRGs in which a comorbid condition or complication has been identified.
Inputs the appropriate information into the hospital system discharge abstract. Refers appropriate charts for DRG Validation, prints the coding sheets and attaches it to the record for review.
Performs related duties such as answering and routing telephone calls, and receiving people requesting information and services in the Department:. Assists in training of new personnel.
REQUIREMENTS:
Working knowledge of ICD-9-CM and CPT coding system, DRG, APG, payment systems, medical terminology. anatomy and physiology
Excellent organizational and communication skills
Ability to work independently
Completion of coding certificate program required
RHIT/RHIA or CCS preferred, but not required
