Under direct supervision, the Hospital Outpatient Coder is responsible for accurate coding and abstracting of diagnoses, conditions, and procedures from medical record documentation for Hospital Ambulatory Surgery, Home Health/Hospice (if applicable), Observation, and complex outpatient visits.
This role assigns appropriate ICD-CM, CPT, and HCPCS Level II codes and modifiers based on documentation, follows hospital and regulatory coding guidelines, and ensures data accuracy, integrity, and timely completion.
Requirements & Qualifications
Experience
- Two years of continuous hospital coding/abstracting experience within the last five years.
Education
- High school diploma or GED
- Completion of coursework in medical terminology, anatomy, physiology, current ICD-CM and CPT coding conventions, and disease process from an accredited program
Certification
- Registered Health Information Technician (RHIT)
- Certified Professional Coder (CPC)
- Certified Coding Specialist (CCS)
- Certified Coding Associate (CCA)
- Registered Health Information Administrator (RHIA)
- Certified Coding Specialist - Physician Based (CCS-P)
Additional Qualifications
- Minimum score of 75% on the Hospital Outpatient Coder test
- Basic computer keyboard and mouse skills
- Ability to meet productivity and quality standards
- Knowledge of anatomy, physiology, medical terminology, and disease process
- Understanding of ICD-CM, CPT, Medicare guidelines, and other coding standards
- Knowledge of reimbursement methodologies and coding conventions
- Must maintain coding credentials and required CE units
- Must follow AHIMA and/or AAPC code of ethics
- Must be willing to work in a Labor Management Partnership environment
Location
California, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago
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