General Summary of Position Codes and abstracts primarily inpatient records using ICD-10-CM and other applicable patient classification schemes. Minimum Qualifications High School Diploma or GED equivalent required Associate's degree in coding or Bachelor's degree in a related field preferred Courses in Medical Terminology, Anatomy & Physiology, ICD-CM, and ICD-PCS required Experience Experience with clinical information systems (e.g., 3M grouper, electronic medical records, computer-assisted coding) and coding experience Licenses and Certifications CCS (Certified Coding Specialist) required within 1 year from date of hire RHIT (Registered Health Information Technician) preferred RHIA (Registered Health Information Administrator) preferred Knowledge, Skills, and Abilities Verbal and written communication skills Basic computer skills Primary Duties and Responsibilities Contribute to department goals and adhere to policies, procedures, quality, and safety standards. Comply with regulations. Abstract and ensure accuracy of diagnoses, procedures, patient demographics, and other data. Follow all compliance regulations and complete annual compliance education. Maintain continuing education and credentials as required. Contact physicians for clarification when needed, following the MedStar Coding Query Policy. Meet quality and productivity standards as defined by policies. Resolve all quality reviews timely, including medical necessity reviews and external vendor reviews. Review medical records, assign correct codes using standard guidelines and automated software, and determine diagnoses sequence and DRGs. Exhibit knowledge of the 3M system and related equipment. Participate in meetings, committees, and community outreach. Engage in multidisciplinary quality and service improvement teams. Perform other duties as assigned. This position has a hiring range of $28.20 - $44.83. #J-18808-Ljbffr