Outpatient Medical Coder

We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Remove boilerplate. Must preserve all substantive info. We need to parse the job description. Key sections: - Responsibilities: many bullet points describing duties. - Requirements/Qualifications: Minimum 2 years experience, experience with professional fee coding, EHR systems, education/experience/certification requirements vary, accepted certifications list. - Skills: maybe implied but not explicit. Could list skills like knowledge of anatomy, physiology, medical terminology, pathology, coding guidelines, etc. Might be part of responsibilities. But we can create a Skills section if we have explicit skill list. Not explicit separate list. Might combine into Requirements. - Pay: Pay range $30.00 - $35.00/hr + $5.12/Hr Fringe Benefit. Also earlier: Pay: $30.00/Hr - $35.00/hr + $5.12/Hr Fringe Benefit. So we have pay details. - Schedule: Pay Schedule: Standard hours Monday - Friday. Also location: 100% Remote. Duration: 12 Month Contract. Could be schedule section. - Benefits: list of benefits: Medical, dental & vision; Critical Illness, Accident, and Hospital; 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available; Life Insurance (Voluntary Life & AD&D for the employee and dependents); Short and long-term disability; Health Spending Account (HSA); Transportation benefits; Employee Assistance Program; Time Off/Leave (PTO, Vacation or Sick Leave). - About the role? Not explicit but we could have a short paragraph summarizing role. The job description starts with "Job Description Responsible for assignment...". Could treat that as About the role. We must not include boilerplate like EEO, equal opportunity, scam warning, application instructions, etc. Also remove duplicated lines. We need to output only HTML fragment, no /, no markdown fences. Let's craft:

About the role

Responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology, and pathology. Review the discharge summary, history and physical, physician progress notes, consultation reports, radiology, laboratory, pathology, operative records, emergency room record to accurately assign diagnosis and/or procedure. Determine diagnoses that were treated, monitored, and evaluated and procedures done during the episode of care and assign appropriate codes. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations. Ensure the diagnoses and procedures are sequenced in order of clinical significance to assign appropriate DRG, APC or payment tier under Prospective Payment system for accurate reimbursement. Review coding for accuracy and completeness prior to submission to billing. Abstract required medical and demographic information from the medical record and enter data into the system to ensure database accuracy. Responsible for correcting any data found to be in error after reviewing the medical record and comparing with system entries. Ensure all required component parts of the medical record that pertain to coding are present, accurate and comply with CMS, JCAHO, and client requirements. Identify incomplete or conflicting documentation and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Utilize computer applications and resources essential to completing the coding process efficiently.

That covers responsibilities but also includes many duties. Could split responsibilities into a separate section with

• . However the instructions: Use
  • for any list of duties/requirements/benefits, and

    for prose. So we should convert the duties into a list. The paragraph currently is prose; we could break into list items for each duty. But we need to preserve all substantive info; we can either keep as prose or list. The instruction says use

    • for any list of duties/requirements/benefits. It doesn't forbid using prose for duties if not a list? It says "Use
      • for any list of duties/requirements/benefits, and

        for prose." So if we have duties, we should put them in a list. Let's create a Responsibilities section with

        • each duty. Similarly Requirements/Qualifications: list. Benefits: list. Pay: maybe a

          with pay details. Schedule: maybe a

          with schedule details. Let's extract duties: - Assignment of accurate E&M ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. - Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology, and pathology. - Review the discharge summary, history and physical, physician progress notes, consultation reports, radiology, laboratory, pathology, operative records, emergency room record to accurately assign diagnosis and/or procedure. - Determine diagnoses that were treated, monitored, and evaluated and procedures done during the episode of care and assign appropriate codes. - Assign and ensure correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations. - Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG, APC or payment tier under the Prospective Payment system to guarantee accurate reimbursement. - Review coding for accuracy and completeness prior to submission to billing. - Abstract required medical and demographic information from the medical record and enter the data into the system to ensure accuracy of the database. - Responsible for correcting any data found to be in error after reviewing the medical record and comparing with system entries. - Ensure all required component parts of the medical record that pertain to coding are present, accurate and comply with CMS, JCAHO, and client requirements. - Identify incomplete or conflicting documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. - Utilize computer applications and resources essential to completing the coding process efficiently. That's a good list. Now Requirements/Qualifications: - Minimum 2 years of Medical Coding experience required - Experience with Professional Fee Coding - Experience with EHR systems - Education, Experience & Certification Requirements vary based on coding assigned. - Accepted certifications from AHIMA or AAPC include: - Registered Health Information Management Technician (RHIT) - Registered Health Information Administrator (RHIA) - Certified Coding Associate (CCA) - Certified Coding Specialist (CCS) - Certified Coding Specialist- Physician-Based (CCS-P) - Certified Professional Coder (CPC) We could also include "Job Type & Location: This is a Contract position based out of Columbia, SC." but location is also mentioned as 100% Remote. There's some conflict: "Job Type & Location This is a Contract position based out of Columbia, SC." but later "Location: 100% Remote". Probably the role is remote but based out of Columbia, SC for tax? We'll keep both as maybe a short paragraph under About the role? But we should not duplicate. We could include location info in a separate section like "Job Details". However we only have headings for specific sections; we could add a

          under About the role covering contract, location, duration. But we have separate Schedule and maybe we can include duration there. Pay: we have pay range and fringe benefit. Schedule: Standard hours Monday - Friday. Duration: 12 Month Contract. Location: 100% Remote. We could put these under a "Job Details" section but not in allowed headings. Allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we can put location, duration, contract type under About the role or Schedule? Schedule is about hours. Could put location and duration under About the role as prose. Better: About the role includes a brief summary of the role, contract, location, duration. Let's craft About the role paragraph: "This is a 12‑month contract position, fully remote (based out of Columbia, SC for administrative purposes). Responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes..." etc. But we already have responsibilities list; we don't want to repeat. So About the role could be a short overview: "This is a 12‑month contract, fully remote medical coding position responsible for assigning accurate diagnosis and procedure codes from medical records, ensuring compliance with coding guidelines, and supporting accurate reimbursement." That's fine. Now Responsibilities list as above. Requirements: maybe combine Requirements and Qualifications into one section? The instructions allow both headings. We could have Requirements (experience) and Qualifications (certifications). Let's do:

          Requirements

          • Minimum 2 years of Medical Coding experience
          • Experience with Professional Fee Coding
          • Experience with EHR systems

          Qualifications

          Education, experience and certification requirements vary based on the specific coding assigned. Accepted certifications from AHIMA or AAPC include:

          • Registered Health Information Management Technician (RHIT)
          • Registered Health Information Administrator (RHIA)
          • Certified Coding Associate (CCA)
          • Certified Coding Specialist (CCS)
          • Certified Coding Specialist‑Physician‑Based (CCS‑P)
          • Certified Professional Coder (CPC)
          Skills: Not explicitly listed, but we could infer skills like knowledge of anatomy, physiology, medical terminology, pathology, coding guidelines, ability to query physicians, proficiency with coding software, attention to detail. However we should not invent details. Since not explicitly listed as a separate "Skills" bullet, maybe we omit Skills section. Benefits list as above. Pay: we have pay range and fringe benefit. Also note "Pay: $30.00/Hr - $35.00/hr + $5.12/Hr Fringe Benefit". Also later: "Pay And Benefits The pay range for this position is $30.00 - $35.00/hr." We'll combine. Schedule: Standard hours Monday - Friday. Also maybe mention duration? But schedule heading is for schedule. We'll put schedule details. We also have location and duration; maybe we can include them in About the role paragraph. Let's craft final HTML:

          About the role

          This is a 12‑month contract, fully remote medical coding position (administratively based out of Columbia, SC). The role involves assigning accurate diagnosis and procedure codes from medical records, ensuring compliance with coding guidelines, and supporting accurate reimbursement.

          Responsibilities

          • Assign accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type.
          • Assign principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology, and pathology.
          • Review discharge summary, history and physical, physician progress notes, consultation reports, radiology, laboratory, pathology, operative records, and emergency room records to accurately assign diagnosis and/or procedure.
          • Determine diagnoses that were treated, monitored, and evaluated and procedures done during the episode of care and assign appropriate codes.