Coding Specialist II - Outpatient

Position Summary

Reviews medical record documentation, extracts data, and applies appropriate diagnosis and procedure codes for complex outpatient hospital, ambulatory surgery, intermediate level of inpatient accounts and behavior health to support hospital billing, internal and external reporting, research and regulatory compliance.

Responsibilities

• Provide code assignment for all levels of Outpatient Coding and/or Charge Entry services.
• Provide code assignment for the following intermediate levels of inpatient accounts: general medicine/ surgery and inpatient rehab/ psych accounts.
• Assigning diagnostic and procedural codes to patient records using ICD-10-CM and CPT and any other designated coding classification system in accordance with the UHDDS coding guidelines.
• Assigning and sequencing codes accurately based on medical record documentation.
• Assigns diagnosis/procedure codes utilizing the 3M Encoder and CAC to arrive at the most accurate code within 5 days of date of service.
• Incorporates current regulatory coding requirements and guidelines appropriately.
• Maintains weekly coding productivity log and provides feedback to the Manager of HIMS regarding any coding issues/problems.
• Maintains coding accuracy of 95% or better. Average number of records coded per week must meet minimum established quantitative standards per type of patient record.
• Responsible for reviewing claims and correcting edits through CAC/ARMS.
• Demonstrates effective computer skills for all coding functions.
• Maintains confidentiality of patient information.
• Participates in In-Service education, updates and conferences to remain current with coding requirements and guidelines.
• Maintains AHIMA credentials.

Minimum Requirements

• High School, equivalent (GED) or higher
• Associate's Degree in Health Information Technology or Bachelor's Degree in Health Information Management or higher is preferred
• One of the following AHIMA credentials is required: RHIA, RHIT, CCS
• 1 - 2 years relevant coding experience required