Outpatient Coder

Under the direction of the HIM Manager, maintains medical record integrity through the processing of outpatient medical records including analyzing, coding, and data entry. Full-time, benefited position working 72 hours per two-week pay period.

Schedule

Days of work are Monday – Friday with no nights, weekends, or holidays. This can be a remote position with all training to be on-site.

Responsibilities

• Demonstrates an understanding of coding conventions; adheres to coding guidelines and refers to current literature regarding coding questions.
• Contacts physicians as necessary to obtain additional information.
• Analyzes outpatient medical records.
• Codes outpatient diagnoses and procedures utilizing ICD-10-CM and CPT-4 coding classification systems.
• Performs physician coding for the radiologist and ER contract physicians.
• Verifies assignment of nursing E/M levels in the ER.
• Utilizes the encoder and stays proficient with this system.
• Types and distributes birth certificates.
• Assists hospital staff, physicians, patients, and guests with inquiries regarding medical information.
• Performs other related duties as assigned or requested.

Requirements

• High school graduate with completion of Health Information Technician/Management and/or Coding Curriculum, including working knowledge of anatomy and ICD-10-CM coding courses.
• No experience required with the above education; alternatively, a minimum of two years’ experience in a Medical Record Department performing related tasks without the education.
• Punctual and regular attendance is essential.
• Strong analytical ability to assign correct codes to diagnoses and procedures.
• Ability to exercise independent judgement and maintain standards; manager to be contacted when questions arise.
• Strong communication skills with co-workers, hospital staff, physicians, and guests.
• Must maintain confidentiality at all times; accurate and concise identification of patient medical records is critical.
• Must be able to speak and write English clearly; must be able to see and hear (or use prosthetics) to meet position requirements.
• Good general health and emotional stability.
• Visual acuity and color perception necessary for performing routine procedures.

Working Conditions

• Participates in and complies with JRMC Safety Management Program.
• Maintains knowledge of and observes Standard Precautions.
• OSHA Job Classification: Category II position, no exposure to bloodborne pathogens.
• Frequent sitting; must be able to move around in aisles less than 30 inches wide and file records at a maximum height of six feet.

Physical and Sensory Effort

• Visual Observation: Continuously
• Standing: Occasionally
• Walking: Occasionally
• Sitting: Continuously
• Hands and Finger Dexterity: Continuously
• Reaching with Hands and Arms: Continuously
• Climbing: Rarely
• Stooping/Kneeling/Crouching/Crawling: Rarely
• Hearing/Listening: Continuously
• Tasting or Smelling: Never
• Working Inside: Continuously
• Working Outside: Never
• Working in Extreme Heat: Never
• Working in Extreme Cold: Never
• Working with Hazardous Materials: Never
• Noise: Rarely
• Working in Dirt/Dust: Never
• Driving: Never

Lifting / Carrying / Pushing / Pulling

• Up to 10 pounds: Occasionally
• Up to 25 pounds: Occasionally
• Up to 50 pounds: Rarely
• Up to 75 pounds: Never
• Up to 100 pounds: Never
• Over 100 pounds: Never

Benefits

Full-time, benefited position.

Additional Requirements

• A comprehensive background check and drug screening will be conducted as a condition of employment.
• A urine drug screening is required for all positions and must be completed within 30 days of hire.
• Reasonable accommodation may be requested for physical requirements, depending on the essential functions of the position.