Outpatient Coding Specialist
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Job Description
Outpatient Coding Specialist reviewing medical record documentation and accurately assigning medical codes. Ensuring compliance with federal regulations and maintaining quality standards in all coding processes.
Responsibilities:
- Advanced outpatient coding position that reviews medical record documentation and accurately assigns ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations.
- Codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures.
- Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA,) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications.
- Utilizing Coding Applications in accordance with established workflow.
- Follows Mercy Policies and Procedures and maintains required quality and productivity standards.
- Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and premise as a team, ensure timely, compliant processing of outpatient claims in the billing system.
- Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and all reference materials.
- Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy.
- Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.
Requirements:
- Completion of Coding Curriculum with one year of previous coding experience.
- Satisfactory completion of Medical Terminology and Anatomy and Physiology.
- Completion of ICD-10 training.
- Previous use of Coding Software Tools.
- Knowledge of medical record content to include electronic medical records, (EMRs.)
- Ability to function independently, with minimal supervision, as well as part of a team.
- Ability to function under continual deadlines.
- Ability to maintain accuracy during frequent interruptions.
- Proficiency in keyboarding skills and working knowledge of computers.
- Excellent communication skills.
- Previous coding experience in an acute care setting and previous use of coding software tools.
- Previous use of CAC.
Benefits:
- Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
- Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
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