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Coding Specialist I

Job Summary Codes and abstracts primarily Emergency Department and other outpatient records using ICD-10-CM, andother applicable patient classification schemes. May also perform beginning level of AmbulatorySurgery/Inpatient coding. Minimum Qualifications Education/Training High school graduation or equivalent. Coding courses in ICD-10-CM and CPT-4 preferred. Experience Experience with clinical information systems (3M grouper, Softmed, electronic medicalrecords, computer assisted coding); Coding experience preferred. License/Certification/Registration RHIT (Registered Health Information Technician), RHIA (Registered HealthInformation Administrator) certification, CPC (Certified Professional Coder), CCA (Certified CodingAssociate), or other coding certification credentials are required within 1 year from date of hire. Knowledge, Skills & Abilities Verbal and written communication skills. Basic computer skills preferred. Knowledge of medicalterminology, anatomy, physiology. Primary Duties and Responsibilities Abstracts and ensures accuracy of diagnosis, procedure, patient demographics, and other required data elements. Adheres to all compliance regulations and maintains annual compliance education. Maintains continuing education. Maintains credentials as required for job classification. Contacts physician when conflicting or ambiguous information appears in the medical record. Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. Meets established Quality, Accuracy, and Productivity standards as defined by policies. Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Participates in multi-disciplinary quality and service improvement teams. Performs other duties as assigned. Resolves all quality reviews timely (eg LMRP reviews; Coding Quality assurance reviews; external vendor reviews). Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic and procedural codes using standard guidelines and automated encoding software maintaining departmental accuracy standards. About MedStar Health MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, DC, region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.

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