Outpatient Coding Specialist

4 weeks ago

Doylestown, United States Doylestown Health Full time
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 equivalent

B. Experience:
  • Outpatient and ED Coders - 1 year previous coding experience in a healthcare setting
  • Inpatient Coders - 2 years previous coding experience in a healthcare setting
C. 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 required
Inpatient Coders- CCS required

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