Coder – Professional

Work Shift: Day (Monday-Friday, 8:00 AM – 4:30 PM)

Worker Sub-Type: Regular

About the role

Provides accurate and timely assignment of appropriate diagnostic and procedural codes on the medical records for the purpose of collecting and indexing quality health information for routine patient types (outpatient diagnostic, outpatient physician practice/clinic, inpatient physician services and/or emergency room encounters).

Experience

• 3 years of experience in hospital and/or physician practice outpatient coding

Qualifications

• High school diploma or equivalent
• Minimum of one of the following certifications:
  • Certified Coding Specialist-Physician-based (CCS-P)
  • Certified Professional Coder (CPC)
  • Certified Outpatient Coder (COC)

Skills

• Demonstrated knowledge of medical terminology, anatomy and physiology, pharmacology, coding guidelines, and computers
• Proven detail orientation and good problem-solving related to coding

Responsibilities

• Reviews the medical record, super bill, and/or charge sheet to identify the diagnoses and procedures and assigns ICD-10-CM codes to routine patient types.
• Identifies and assigns CPT-4 codes to all outpatient procedures.
• Abstracts diagnostic and procedural codes and other pertinent data into the network system as defined in policy and procedures.
• Reviews/monitors assigned work queues, physician notes reports, and missing documentation encounters and codes and abstracts any accounts that were missed.
• Provides information on specific problem accounts to the Coding Supervisor.
• Partners with the Coding Supervisor, Physician, and Practice Manager to identify and resolve documentation opportunities.
• Other duties as assigned.