Outpatient Coder IV Specialist
2 months ago
Hackensack Meridian Health is seeking a highly skilled Outpatient Coder IV to join our team. As a key member of our coding team, you will be responsible for accurately abstracting data and assigning codes for reimbursements, research, and compliance with regulatory requirements.
Responsibilities- Assign codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines and coding conventions.
- Account for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
- Analyze medical records and identify documentation deficiencies.
- Review and verify documentation supports existing diagnoses, procedures, and other charges.
- Identify reportable elements, complications, and other quality measures.
- Communicate with physicians to clarify information via the physician query process.
- Assign CPT, HCPCS, and ICD-10-CM codes.
- Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
- Maintain required productivity and quality requirements.
- Other duties and/or projects as assigned.
- High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
- Minimum of 4+ years of coding experience, Trauma Level 1 and Academic Teaching facility.
- 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.
- Proficient in coding Ancillary Accounts such as Diagnostic Radiology and Cardiology.
- Proficient in coding Emergency Department and Infusion based services such as Oncology.
- Proficient in coding Observation and Procedure Room such as Endoscopies and Cardiac Cath.
- Proficient in coding all outpatient services, especially Operating Room procedures.
- Certified in at least one of the following at hire or must obtain within 6 months of hire/transfer into position: American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).
Hackensack Meridian Health is a leading healthcare organization that helps our patients live better, healthier lives. We are committed to transforming healthcare and serving as a leader of positive change. Our team members are dedicated to delivering exceptional care and making a difference in our community.
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