RIS - OUTPATIENT CODER II

Key Responsibilities

• Review outpatient services (primarily surgical, emergency, oncology, and wound care) medical records to assign appropriate CPT, HCPCS, and ICD-10 codes.
• Ensure accuracy and completeness of coded information for billing and reimbursement purposes.
• Stay updated on coding guidelines, regulations, and compliance requirements related to outpatient services.
• Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies and obtain additional documentation if necessary.
• Work closely with the Revenue Integrity team to identify and address coding-related issues affecting revenue cycle performance.
• Provide feedback and education to clinical and administrative staff on coding and documentation best practices.
• Participate in coding audits and quality improvement initiatives.

Qualifications

• Experience: Minimum of 3 years of outpatient coding experience in a hospital setting, preferably with Meditech EHR.
• Thorough understanding of CPT, HCPCS, and ICD-10 coding systems.
• Knowledge of outpatient billing processes and reimbursement methodologies.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and collaboratively within a team.
• Proficient in using Meditech or similar electronic health record (EHR) systems.

Certifications

• AHIMA Certification required, Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) preferred.