Outpatient Coding Specialist I
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Job Description
Responsible for accurate coding of outpatient and professional medical records for UH. Works within billing timelines and maintains coding knowledge and skills.
Responsibilities:
- Responsible for accurately and timely coding of outpatient and professional medical records following established coding, CMS regulations and hospital guidelines.
- Reviews patient encounters and assigns diagnostic ICD-10-CM and or/procedural CPT codes according to established coding, CMS and hospital guidelines.
- Responsible for accurately coding hospital ancillary, ED, same day surgery, observation and/or professional physician services encounters.
- Maintains productivity and quality rate according to established standards.
- Ensures optimal CPT /ASC/APC/APG assessment.
- Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD and MUE.
- Works within UH billing time frames.
- Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars.
- Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department.
Requirements:
- Education: High School Equivalent / GED (Required)
- Associate's Degree preferably in HIM (Preferred) or Bachelor's Degree (Preferred)
- 1+ years Of ICD-10-CM and/or CPT coding experience (Preferred)
- Medical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge. (Required proficiency)
- Detail-oriented and organized, have excellent time-management skills, and have good analytical and problem solving ability. (Required proficiency)
- Notable client service, communication, presentation and relationship building skills. (Required proficiency)
- Ability to function independently and as a team player in a fast-paced, demanding work environment. (Required proficiency)
- Must have strong written and verbal communication skills. (Required proficiency)
- Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). Must be able to proficiently work within multiple systems. (Required proficiency)
- Licenses and Certifications: Certified Professional Coder (CPC), CPC, CPC-A, CPC-H, or CPC-P (Required Upon Hire) or Certified Coding Specialist (CCS) CCS, CCS-P (Required Upon Hire) or Registered Health Information Technologist (RHIT) (Required Upon Hire) or Registered Health Information Administration (RHIA) (Required Upon Hire) or Certified Coding Associate (CCA) (Required Upon Hire) or Radiology Coding Certification (RCC) (Required Upon Hire) or Radiation Oncology Certified Coder (ROCC) (Required Upon Hire) or Certified Hematology and Oncology Coder (CHONC) (Required Upon Hire)
Benefits:
- Complies with all policies and standards.
- Participates in educational and informational activities.
- Performs other duties as assigned.
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