Outpatient Coding Specialist

Job Description: PURPOSE OF JOB: Performs a detailed analysis of documentation in patient medical records, assigns the appropriate diagnostic and procedural codes for hospital reimbursement, data retrieval, and statistical analysis.I. ESSENTIAL FUNCTIONS:Codes ICD-10 CM or CPT/HCPCS codes, creating MS-DRG, APR and APC group assignments. Communicates with the physician and/or hospital department(s) for clarification of registration and documentation issues. Keeps abreast of coding guidelines and reimbursement reporting requirements. Reports concerns to Coding Manager for resolution. Abides by the Standards of Ethical Coding as defined by the American Health Information Management Association and adheres to official coding guidelines and hospital and departmental policies and procedures. Performs other HIS-related duties as required.Job Qualifications: QUALIFICATIONS:Certified Coder:A. Education: High School diploma or equivalentB. Experience:Outpatient and ED Coders - 1 year previous coding experience in a healthcare setting Inpatient Coders - 2 years previous coding experience in a healthcare settingC. Other Skills: Knowledge of anatomy, physiology, and medical terminology.Ability to demonstrate knowledge of coding guidelines and principles. Ability to abstract pertinent clinical information from the medical record into 3M coding products and Meditech. Ability to enter coding and physician information into a computer to ensure compliance with ethical coding guidelines and to ensure quality data abstraction.License and Certification and Registration: Outpatient Coders- CPC, CCA, COC, or CCS requiredInpatient Coders- CCS required