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Outpatient Coder I, Ambulatory Specialist
4 weeks ago
The Outpatient Coder I is a key member of our team, responsible for accurately abstracting data and assigning codes to clinical services performed. This role requires a strong understanding of physiology, medical terms, and anatomy, as well as proficiency in computer skills and typing speed and accuracy.
Key Responsibilities:
- Assigns codes to clinical services performed for use in reimbursement and data collection.
- Accountable for coding and abstracting of patient encounters, including diagnostic, surgical, and procedural information, significant reportable elements, and complications.
- Assesses clinical documentation and communicates with physicians and advanced practice nurses for additional information when documentation for proper coding is missing or incomplete.
- Analyzes medical records and identifies documentation deficiencies.
- Identifies reportable elements, complications, and other quality measures.
- Daily monitoring of WQ's for billing corrections.
- Assign CPT, HCPCS and ICD-10-CM codes.
- Maintains required productivity and quality requirements.
- Complies with HMH Organizational policies, procedures, and standards of behavior; maintains patient record Reports unusual circumstances, possible risk factors, errors, and discrepancies to management.
Qualifications:
- High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
- Minimum of 1 year of coding for professional services.
- Strong understanding of physiology, medical terms and anatomy.
- Proficiency in computer skills including typing speed and accuracy.
- Excellent written and verbal communication skills.
- Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
- Must be able to achieve and maintain appropriate coding quality and productivity as established by HMH Compliance Education.
Preferred Qualifications:
- Prior working experience with outpatient hospital ICD10 diagnosis, CPT procedural and E&M coding experience is desired.
- Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder.
- An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.