Identifies and sequences all diagnoses and procedures, assigns ICD-10-CM and CPT-4 Codes and assigns a final DRG to all inpatient medical records at the time of discharge.
- Identifies and sequences all diagnoses and procedures. Assigns ICD-10 and CPT-4 codes and assigns a final DRG to all inpatient medical records at the time of discharge.
- Reviews inpatient and outpatient records to ensure complete and accurate documentation to support all diagnoses and procedures and follows-up until all documentation is received.
- Accurately abstracts required data such as discharge dispositions, consultations and procedure/operative information with 95% accuracy.
- In a 7.5 hour day, completes an average of 17-21 inpatient records, 50 surgical records, or 100 ED records.
- Inserts appropriate staging forms into medical records of newly diagnosis cancer patients.
- Uses Computer Assisted Coding as a tool to accurately code diagnoses and procedures.
- Reviews Risk of Mortality and Severity of Illness indicators and appropriately abstracts data for Clinical Documentation Improvement.
- Queries physicians appropriately and timely reviews the responses received in the coding queue.
High School graduate or equivalent with training in medical terminology and medical coding.
Minimum one year medical records coding experience required.
Licenses and Certifications:
CCS required within 1 year of hire.
Required Knowledge and Skills:
Medical record coding knowledge including analysis and abstracting. Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team.
CentraState Healthcare System, a partner of Atlantic Health System, is a fully accredited, not-for-profit, community-based health system that provides comprehensive health services in the central New Jersey region. In addition to offering a full range of leading-edge diagnostic and treatment options, CentraState serves as a valuable health partner focused on the latest ways to prevent disease, promote healthy behaviors, and help people of all ages live life well. Based in Freehold, CentraState is comprised of a 284-bed acute-care hospital, a vibrant health and wellness campus, three award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions offering primary care and specialty physician practices, along with access to outpatient services, such as lab and physical therapy. The system also offers a family medicine residency and geriatric fellowship training program in affiliation with Rutgers Robert Wood Johnson Medical School. Among its many honors and accreditations, CentraState is one of less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence four times and was designated a Great Place to Work-Certified™ Company by Great Place to Work® for the second consecutive year.
When you bring your talent to CentraState, you are joining a trailblazing healthcare facility, committed to providing high-quality, patient-focused care. Join us in making incredible strides in health care, and making a difference in our community. We believe in enriching the lives of our employees through work/life balance initiatives, tuition assistance, career advancement opportunities and much more.
Find out why our employees love their jobs and being part of the CentraState family!
What We Offer:
- Highly competitive compensation
- Excellent benefits package and rewards program
- 403(b) retirement plan with company match
- 401(a) retirement plan with employer contribution
- Life Insurance
- Tuition Reimbursement Program
- Profit Sharing Program
- Growth Opportunity and Workforce Development Initiatives
- Continuing Education / Onsite Training
- A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
- Concierge Services with Work & Family Benefits
- Magnet recognized healthcare facility
At CentraState Healthcare System, we welcome and promote the diversity of our employee family! Each unique person contributes to the overall success of this organization. Our inclusive culture fosters an environment of professionalism and respect for personal differences.
CentraState Healthcare System, is an equal employment opportunity employer and federal contractor or subcontractor and, therefore, abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, gender identity or expression, sexual or affectional orientation, national origin or nationality, citizenship status, disability, age, genetics, protected veteran status, ancestry, marital status.