HOSPITAL OUTPATIENT CODER

Summary

The Hospital Outpatient Coder reviews, analyzes, and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinic Modification ("ICD-10-CM"), Tenth Revision, Current Procedural Terminology ("CPT"), and Healthcare Common Procedure Coding ("HCPCS") coding. The Hospital Outpatient Coder promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. In addition, this position ensures compliance with established coding guidelines, federal regulations, and accreditation guidelines.

Responsibilities

• Review, analyze, and assign codes for diagnoses and procedures using ICD-10-CM, CPT, and HCPCS classification systems
• Promote provider/patient continuity and accurate database information
• Optimize reimbursement through accurate coding
• Ensure compliance with established coding guidelines, federal regulations, and accreditation guidelines

Qualifications

• High School Diploma/GED
• Two (2) years health care outpatient coding experience with ICD-10-CM, CPT and HCPCS classification
• Experience in coding hospital electronic medical records
• Excellent communication and interpersonal skills
• Experience with automated patient care and coding systems (Cerner Electronic Health Record, OPTUM Enterprise Computer Assisted Coding, 3M encoder, Soarian financial billing system)
• Competence with MS Office software (Word, Excel, Zoom and Outlook)
• Knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and CPT coding guidelines, Center for Medicare & Medicaid Services ("CMS") guidelines, American Health Information Management Association ("AHIMA") and American Academy of Professional Coders ("AAPC") code of ethics

Preferred Experience

• Experience with coding oncology related services

Required Certification

• Any one of the following certifications: (CCS) Certified Coding Specialist, (CPC) Certified Professional Coder, (CPMA) Certified Professional Medical Auditor, (COC) Certified Outpatient Coder, (CCS-P) Certified Coding Specialist - Physician, (RHIT) Registered Health Information Technician, (RHIA) Registered Health Information Administrator
• Certification must be issued from American Health Information Management Association ("AHIMA") or American Academy of Professional Coders ("AAPC")
• Any relevant certification not listed above but issued from AHIMA or AAPC may be reviewed and considered by the business to satisfy this requirement

Pay

$30.47 - $46.49 per hour