Outpatient Coder II

Must reside in the following states: 

AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA.

Summary:

Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines.

Reviews coding and amends coding edits to assure compliance with all applicable regulations.

Responsibilities:

1.Codes all outpatient medical records in a timely and accurate manner according to department policy.

2.Defines and transforms verbal descriptions of diseases, injuries, and procedures into numerical designations (codes) using ICD-10-CM and CPT-4 according to established coding guidelines.

3.Initiates a physician/department query when there is conflicting, incomplete, or ambiguous documentation in the record or additional information is needed for accurate coding.

4.Enters all required information accurately into computer system for reimbursement and statistical purposes.

5.Remains abreast of all applicable Federal, State, regulatory and hospital-specific coding guidelines.

6.Applies applicable guidelines to all cases coded to ensure accuracy of selected codes.

7.Accesses and research applicable reference materials to further support decision-making in code selection.

8.Participates in Performance Improvement/Quality Assurance activities.

9.Reports on software and hardware problems.

10.Attends required educational sessions (webinars, conferences etc.) to maintain and enhance coding certification(s)

11.Maintain and Model Nuvance Health Values

12.Demonstrates regular, reliable, and predictable attendance.

13.Performs other duties as required.

Other Information:

Minimum Knowledge, Skills, and Abilities Requirements:

Basic familiarity with MS Office applications (Word, Excel.

Outlook)

Usage of coding manuals and regulatory websites for research

Certification from the America Academy Professional Coders (AAPC) or the American Health Information Management Association (AHIMA):

CPC, CPC-H, CCS, CCS-P, RHIA, RHIT, or specialty certification required.

Must have coding experience in the following area: 

General surgery
Neurosurgery
Vascular surgery
Thoracic Surgery
Cardiothoracic Surgery
Urology
Orthopedics
Surgical oncology
Gynecologic Oncology
Vascular Interventional Radiology
Neurovascular Interventional radiology

Company: Western CT Health Network Inc

Org Unit: 1853

Department: CODERS - PROFESSIONAL & FACILITY CHARGING and CODING

Exempt: No

Salary Range: $25.70 - $47.72 Hourly