Bergen Regional Medical Center CODER/ABSTRACTOR in United States


JOB SUMMARY:Reviews inpatient and outpatient medical records, abstracts required patient health information, andassigns appropriate ICD-9-CM and CPT codes in accordance with coding compliance guidelines andregulatory agencies.

Reviews and abstracts patient health information consistent with departmentalabstracting guidelines, and regulatory agency requirements.

Reviews entire medical record to identify and code pertinent principal and secondarydiagnoses, and principal and secondary procedures for billing and statistical purposes,consistent with departmental coding guidelines and regulatory agencies.

Electronically transmits abstracts to Patient Accounts

Prepares and forwards physician queries to request physician clarification when there isconflicting or ambiguous documentation in the medical record.

Participates in peer review and other coding/abstracting quality monitors.

Abstracts data as required by the organization.

Participates in peer review and other coding and abstracting quality review.

Maintains expected coding productivity standards.

Maintains expected coding accuracy standards.

Consistently refers to department memorandum and other coding/abstracting referencematerial, when necessary.


Current registration as a RHIT, CCS, or RHIA preferred.

Minimum of one year hospital coding experience required.

Knowledge of ICD-10 Coding

Knowledge of CPT-Coding

Data entry knowledge.

Requisition Number: 16-0903

Post Date: 11/21/2016


Division: Professional Care

Employee Type: Full Time Day

Work Hours: 40.0