Codes Outpatient Diagnostics, Recurring and/or Emergency Department accounts. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for hospital reimbursement, medical necessity, mortality & morbidity outcomes, governmental compliance coding, research, statistics, and regulatory compliance.
Under the direction of the Health Information Management Coding Manager, accurately codes outpatient encounters diagnosis, procedures and/or modifiers that are supported by the health record in accordance with ICD-10-CM Official Coding Guidelines for Coding and Reporting. Abstracts, codes and assigns necessary demographic and clinical data elements required for outpatient records.
Effectively utilizes encoder software to ensure appropriate reimbursement and accurate APC assignment. Completes all work in accordance with defined productivity and quality standards. As necessary, queries and/or submits request to the physician for additional information or clarification of diagnoses, co-morbid/secondary conditions, and procedures. Assures coding practices fall within established compliance guidelines. Performs other related duties as requested by HIM management.
EducationHigh School DiplomaCertification/LicensureKnowledge of ICD-10-CM and CPT coding (or most current healthcare industry numerical coding system) procedures required. Completion of Coding program/certification strongly desired at time of screeningCCS, CIC, CPC, COC or RHIT (Registered Health Information Technician) required within 1 year of hire. Certified Coding Associate (CCA) also accepted.Successful completion of an AHIMA certified coding program preferred. Knowledge of anatomy & physiology - required ExperiencePrevious Medical Terminology experience requiredPrevious Coding experience requiredAnatomy and Physiology experience requiredWe provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$22.36 - $37.26. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.