Applies the appropriate diagnostic and procedural codes to individual patient health
information for data retrieval, analysis, and claims processing for hospital medical claims.
Abstracts pertinent information from patient records. Assigns ICD-9-CM or HCPCS codes,
creating APC or DRG group assignments.
Responsible for identification of patients, identification of abstraction, validation and
entry of all required data into the billing system. Must be able to code clinical
documentation correctly and efficiently.
Candidate must be able to demonstrate a working knowledge of personal computers and other
standard office equipment. Must be detail oriented, possess basic mathematical skills, and
have sharp analytical skills to resolve financial issues as they relate to multiple groups
include third party payor, physicians, patient and the computer system. Must demonstrate a
positive demeanor, good verbal and written communications skills and be professional in both
appearance and approach. Candidate must be able to handle potentially stressful situations and
multiple tasks simultaneously. Must be able to communicate effectively with patients, families,
government entities, insurance companies, and physician/ hospital staff. Must be able to solve
problems within the guidelines of established policies and procedures.