Outpatient Coder III

Job Summary

Under limited supervision, performs coding on all diagnoses, procedures, and related services according to applicable coding guidelines for all outpatient-designated account types (EC, Day Surgery and Observation). Uses ICD-10-CM, CPT-4, and HCPCS code sets to appropriately assign and sequence codes identified within the outpatient medical record. Applies the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. Maintains the confidentiality of patient records and procedures.

Minimum Qualifications

School Education

High School Diploma or GED

Licenses & Certifications

Certified Professional Coder or Certified Outpatient Coder (COC) (Or) Certified Coding Specialist or CCS- P or Certified Coding Associate (CCA) (Or) Reg Health Information Admin (Or) Reg Health Information Technician

Work Experience

Four (4) Year Work Experience of outpatient coding

Communication Skills

Writing/Correspondence

Proficiencies

P.C.

Job Attributes

Knowledge/Skills/Abilities: Medical Terminology, Other; Successful Completion 80% on Coding Exam Work Schedule: Flexible, Holidays, Overtime, Eligible for Telecommute, Weekends

Other Requirements

*Knowledge of medical terminology and abbreviations, anatomy and physiology, major disease processes, and pharmacology. *Knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid (CMS), the ICD-10-CM Official Coding Guidelines AHIMA, and AAPC for assignment of diagnostic and procedural codes. *Knowledge of the Privacy Act of 1974 and HIPAA Privacy Rule Act of 1996. *Skill in understanding medical coding and billing procedures and protocols. *Skill in linking diagnoses to services and applying appropriate codes to diagnoses, procedures, evaluation and management services, and other related services. *Skill in operating a personal computer utilizing the Epic EMR, 3M Encoder, and a variety of software applications. *Skill in oral communication and presenting written information to providers (via queries).