Outpatient Medical Coder
3 weeks ago
Are you a detail-oriented Coder Analyst with a passion for outpatient care? Join our client’s dynamic healthcare team where your expertise in coding and analysis will directly impact patient outcomes and operational efficiency. At their facility, you'll work with cutting-edge technology and a supportive team dedicated to excellence in patient care. If you’re looking to make a meaningful difference in a forward-thinking organization, apply today
Role & Responsibility:Tasks That Will Lead To Your Success
- Reviews and coordinates data in the entire medical record, codes principal, secondary diagnoses and procedures documented within the record to justify treatment rendered to collect accurate patient data and to receive optimal reimbursement.
- Abstracts coded data as required by SPARCS and by Health Information policy.
- Queries and / or confers with the attending physician and / or physician liaison when there is uncertainty in the documentation of the medical record.
- Retrieves coded data that may be utilized for evaluation, research, and/or planning in CHS. Includes selecting and generating reports via computer system.
- Assists in the submission/correction of SPARCS data errors.
- Assists physicians with documentation and completion of medical records as needed.
- Evaluates facility records for completeness according to standards established by Health Information Committee, JCAHO, and other licensing agencies, as needed.
- Participates in quality assessment and improvement activities per facility, Health Information Committee and CHS policies and procedures.
- Investigates and reviews appropriateness of coding upon request of in house and or third-party review. Promptly responds to third party payor when appropriate.
- Maintains DOH Cancer, and Congenital malformation registries. Retrieves data & codes DOH required reporting for congenital malfunctions and cancer.
- Attends meetings, seminars, workshops, and in-services as required.
- Assists with computer applications and other system maintenance.
- Maintains confidentiality of work-related medical record documentation and conversation in accordance with hospital/department policy and procedure.
- Performs other duties as requested and maintains a clean, safe work area.
- B.S. in Health Information Management or AAS in Health Information Technology or Certification as a RHIA or RHIT.
- Certified Coding Specialist (CCS) is preferred. Would also consider a RHIA or RHIT eligible candidate if enrolled in an HIT or HIM program and candidate has completed coding, medical terminology, anatomy & physiology.
- Certified Professional Coder (CPC) or Certified Medical Coder (CMC) with certification from the American Academy of Professional Coders (AAPC); graduate of a comparable Healthcare/HIM program eligible to sit for Certified Professional Coder (CPC), Certified Medical Coder (CMC) or an experienced coder with the Certified Coder Specialist (CCS) credentials would also be considered.
- Successful certification within one (1) year of date of hire or graduation, whichever is later. (AHIMA or AAPC).
- Candidates are required to take and successfully pass a CH coding test.
- Maintains credentials by meeting AHIMA/ AAPC continuing education requirements.
- Six (6) months coding experience in an acute care facility is preferred.
- Thorough knowledge of ICD-9-CM and CPT coding systems, medical terminology, anatomy, and physiology.
- Partner with and across Teams. Demonstrated ability to work closely with CH associates, medical staff, department managers, CDI Specialists and Finance.
- Superior written and interpersonal communication skills
- Drive performance. Ambitious, takes prompt action for priorities, addresses challenges & opportunities. Possess skills related to organization and prioritization. Is action oriented.
- Demonstrated proficiency with computers, software, hardware and technological advances.
- Problem Solving: Includes appropriate staff in problem solving, defining, and prioritizing.
- Excellent analytical skills.
- Mobilizer. Sets goals/expectations. Ability to meet deadlines consistently and generate reports.
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