Job Summary
Codes diagnoses and procedures of inpatient records and abstracts information at defined facilities for
reimbursement, research, and to generate statistical data. Performs other duties as assigned
Job Responsibilities
• Codes diagnoses and procedures of records pertaining to inpatient records.
• Abstracts information by reviewing records for reimbursement, statistical purposes for the daily
operations, medical staff, and regulatory agencies.
• Serves as a resource to physicians, physician office staff, clinical documentation specialists, case
managers, etc.
• Completes assigned goals
Experience
Minimum Required
Skill and proficiency in coding inpatient records utilizing ICD10 CM with one year experience in an acute care facility or
RHIT/RHIA/CCS certification through AHIMA.
Education
Minimum Required
Skill in communicating clearly and effectively using standard English in written, oral and verbal
format to achieve high productivity and efficiency. Skill to write legibly and record
information accurately as necessary to perform job duties.
Training
Minimum Required
ICD10CM Diagnosis and Procedure Coding
Licensure
Preferred/Desired
One of the following: Certified Coding Specialist (CCS),
Registered Health Information Administrator (RHIA), or
Registered Health Information Technician (RHIT)