Outpatient Coder I, Ambulatory Specialist
4 weeks ago
About the Role:
Hackensack Meridian Health is seeking a skilled Outpatient Coder I to join our team. As an Outpatient Coder I, you will be responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network.
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.
Requirements:
- 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.
- Approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.
Working Conditions:
This is a remote position. Experience with ortho oncology and sports medicine is strongly preferred.
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