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Coding Specialist I – Outpatient

2 months ago


Columbia, South Carolina, United States MEDSTAR HEALTH Full time

MedStar Health is looking for a Coding Specialist I to join our team with the Facility Outpatient Coding Operations department We are specifically seeking an experienced outpatient CPC Medical Coder that is self-motivated and has at least 1 year of experience in Emergency Department coding.

As a Coding Specialist, you will code and abstract primarily Emergency Department, Observation, and other outpatient records using ICD-10-CM, and other applicable patient classification schemes. May also perform beginning level of Ambulatory Surgery.

Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move


Primary Duties:

· Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.

· Adhere to all compliance regulations and maintains annual compliance education. Maintains continuing education and seeks ongoing education to improve job performance.

· Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.

· Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).

· Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic, procedural codes, and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.

Qualifications:

· High School Diploma or GED.

· Associate degree or Bachelor's degree in coding related preferred

· Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and CPT-4 required.

· CPC (Certified Professional Coder), CCA (Certified Coding Associate) or other coding certification credentials within 1 year required

· Coding experience and experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding)