Medical Coder - Outpatient

Summary

• Position Summary
  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding in accordance with accepted medical and legal standards. Responsible for reviewing physician chosen CPT, HCPCS and ICD-10-CM codes to the physicians' documentation to substantiate the level of coding, and physician specialty outpatient encounters; including, but not limited to: E/M clinic encounters, infusion services, procedures within specialty practices and the related infusion therapy suites. The Outpatient Medical Coder will abstract other data elements as required and work within the department and with the practices to obtain any necessary information to accurately and correctly code and bill claims to payers. Other tasks may include account creation and charge entry as needed.
• Education
  • Associates of Health Information Administration - Preferred
• Experience
  • 1 Year outpatient coding - Preferred
  • Candidates with Apprentice status are welcome to apply to this position.
• License & Certification
  • National Certification - Required
  • Candidates are required to become a certified Coder within 6 months of hire. If certification is not obtained, the staff member will be at risk of termination.
• Core Job Functions
  • Codes are assigned according to regulatory guidelines. Physicians are queried for missing documentation to assure accurate coding, and an account is not finalized until a response is received. Other key data elements are abstracted to provide information for regulatory reporting.
  • Reviews record for additional information required for claim submission. Applies occurrence code if not captured at the time of admission.