Outline_of_Coding_Work_Experience_

Outline of coding work experience: (Job description using code books) Amount of time in that capacity. MAJOR DUTIES: Outpatient Coder  Performs a variety of technically complex duties involved with auditing, reviewing, and analyzing medical data and medical records.  Ensure facility compliance with applicable Joint Commission on the Accreditation of Healthcare Organization (JCAHO) standards and guideline which pertain to medical record reviews and information management. Compiles, analyzes, maintains and reports statistical medical data for purposes of quality improvement. Perform quality assurance review of the medical data in the Ambulatory Data System (ADS).  Compares provider designated diagnoses, clinical procedures, and disposition instructions on the ADS encounter forms with entries in medical records to determine the accuracy of ADS data. Utilizes medical knowledge in a wide range of specialties to determine if the medical records accurately reflect the medical information coded on the encounter forms. Compiles and analyzes statistics on accuracy of ADS data within individual specialties and clinics.  Develop trend analysis for each clinic and globally for the organization.  Provide feedback on errors to individual providers and clinics, assisting them with ways to improve their input.  Develop recurring quality improvement reports for distribution within the command.  Ensures that JCAHO information management standards on data accuracy are met in regards to ADS data.  Coordinates with numerous clinical and administrative elements within the command to accomplish auditing, reporting and quality improvement task. Use various computer application programs (word processing, spreadsheet, database and graphics) to prepare correspondence, reports, charts and graphs.   Knowledge Required by the Position   - Knowledge and understanding of recognized reference standards, medical and legal requirements, and regulatory and accrediting agency requirements to perform medical records analysis and evaluate the adequacy of the medical records program in Ambulatory Services.   - Knowledge of automated medical records systems, requirements of the Privacy and Freedom of Information Acts, HIPPA, and agency policies about the release of information.   - Knowledge of anatomy and physiology and a practical knowledge of medical procedures and diagnosis.   - Knowledge of the basic functions, responsibilities, and relationships of the various areas within the medical organization to assess and correlate data and verify information.    - Skill in effective oral and written communication.