Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines. Reviews coding and amends coding edits to ensure compliance with all applicable regulations.
Codes outpatient medical records in a timely and accurate manner according to department policy.
Defines and transforms verbal descriptions of diseases, injuries, and procedures into numerical designations using ICD-10-CM and CPT-4 according to established coding guidelines.
Initiates physician or department queries when documentation is conflicting, incomplete, ambiguous, or when additional information is needed for accurate coding.
Enters required information accurately into the computer system for reimbursement and statistical purposes.
When applicable based on facility workflow, independently reconciles charges for areas of responsibility by identifying missing charges and resolving discrepancies so charges reflect services delivered.
Performs ICD-10-CM diagnostic and CPT-4 coding at a minimum accuracy rate of 95%.
Remains current on federal, state, regulatory, and hospital-specific coding guidelines.
Applies applicable guidelines to all coded cases to ensure accuracy of selected codes.
Uses reference materials to support code selection decisions.
Participates in performance improvement and quality assurance activities.
Reports software and hardware problems.
Attends required educational sessions to maintain and enhance coding certifications.
Maintains and models the organization’s values.
Demonstrates regular, reliable, and predictable attendance.
Performs other duties as required.
Associate degree or equivalent experience.
Knowledge of ICD-10, CPT-4, disease pathology, anatomy, physiology, and medical terminology.
Advanced knowledge of evaluation and management coding guidelines.
2-4 years of coding experience.
Familiarity with MS Office applications.
Ability to use coding manuals and regulatory websites for research.
AAPC or AHIMA certification required, such as CPC, CPC-H, COC, CCS, CCS-P, RHIA, RHIT, or a specialty certification.
Location
Connecticut, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago