KNOWLEDGE and SKILLS:
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Knowledge of coding software.
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Knowledge of medical terminology, abbreviations, anatomy and
physiology; major disease processes and pharmacology.
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Knowledge of classification systems, ICD-9-CM nomenclature, CPT-4
and HCPCS nomenclature, coding rules, guidelines and proper sequencing.
·
Knowledge of coding conventions and rules established by the
American Medical Association (AMA), the American Hospital Association (AHA) and
the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and
surgical procedural codes.
·
Knowledge of JCAHO, Privacy Act of 1974, and HIPAA standards
affecting medical records and the impact on reimbursement and accreditation.
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Knowledge of ethical coding principles and revenue cycle
activities.
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Knowledge of the principles and practices of medical file and
record management.
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Skill in reading medical records, and finding and resolving
documentation discrepancies.
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Skill in operating computerized medical coding and information
processing systems.
·
Skill in operating a personal computer and utilizing a variety of
software applications.
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Skill in understanding medical/surgical coding procedures and
protocols.
·
Skill in linking diagnosis to services and applying appropriate
codes to diagnosis, procedures and supplies.
·
Skill in using analytical and research modalities skills to define
and solve problems.
·
Skill in interpreting and applying ethical coding standards,
federal and state laws and regulations; rules; policies and procedures; and
professional practice standards for health care organization coding compliance
program activities.
·
Skill in effective verbal and written communication with peers,
physicians and other hospital staff.
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Skill in writing reports and other materials.
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Skill in oral communication and presenting information to
providers.
