Medical Coder - Outpatient

Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding in accordance with accepted medical and legal standards. Responsible for reviewing physician chosen CPT, HCPCS and ICD-10-CM codes to the physicians' documentation to substantiate the level of coding, and physician specialty outpatient encounters, including, but not limited to: E/M clinic encounters, infusion services, procedures within specialty practices and the related infusion therapy suites.

The Outpatient Medical Coder will abstract other data elements as required and work within the department and with the practices to obtain any necessary information to accurately and correctly code and bill claims to payers. Other tasks may include account creation and charge entry as needed.

Education: Associates of Health Information Administration - Preferred.

Experience: 1 Year outpatient coding - Preferred. Candidates with Apprentice status are welcome to apply.

License & Certification: Candidates are required to become a certified Coder CPC or CCS within 6 months of hire. Failure to obtain certification may lead to termination.

Core Job Functions:

• Assign codes according to regulatory guidelines.
• Query physicians for missing documentation to assure accurate coding; accounts are not finalized until a response is received.
• Abstract key data elements for regulatory reporting.
• Review records for additional information required for claim submission.
• Apply occurrence code if not captured at time of admission.