Hospital Outpatient Coder II
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Job Description
Codes medical information into billing/abstracting systems for Prisma Health's multiple facilities. Ensures accuracy and compliance in coding for outpatient surgery and GI procedures.
Responsibilities:
- Codes medical information into the organization billing/abstracting systems for multiple facilities.
- Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes.
- Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding.
- Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.
- Adheres to department standards for productivity and accuracy.
- Operates under the general supervision of HIM Coding leadership.
- Reviews work queues daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines.
- Follows up on on-hold accounts daily for final coding.
- Responds to and follows up on priority accounts daily and any accounts assigned by Patient Financial services or Coding leader(s) for final coding.
- Communicates with leader when trending requests volumes impact productivity.
- Queries physician or clinical area following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy.
- Applies ICD and CPT codes to the Emergency department, outpatient ambulatory clinic records and ancillary service records based on review of clinical documentation and according to Official coding guidelines; assigns modifiers.
- Performs other duties as assigned.
Requirements:
- Certification Program, Associate degree or coding certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other approved coding certification program.
- Two (2) years of coding experience in an acute care or ambulatory setting.
- Outpatient coding experience.
- Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CCP-H), or Certified Outpatient Coder (COC).
- Demonstrates proficiency in utilizing official coding books as well as the electronic medical record and computer assisted coding/encoding software to facilitate code assignment.
- Ability to concentrate for extended periods of time; ability to solve problems with close attention to detail and to work and make decisions independently.
- Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
Benefits:
- Inspire health.
- Serve with compassion.
- Be the difference.
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