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Hospital Outpatient Coding Specialist

WASHINGTON REGIONAL MEDICAL CENTER

Position reports to the Coding Manager and is responsible for assigning appropriate diagnostic and procedural codes to patient medical records for data retrieval, analysis, and claims processing.

Key responsibilities include:

  • Abstract pertinent information from patient records into the appropriate computer system for statistical and billing purposes
  • Assign ICD-CM, ICD-PCS, discharge disposition, MS-DRG group assignments, and other applicable data
  • Coordinate with Clinical Documentation Specialists and quality teams to validate MSDRGs, patient safety indicators, and hospital-acquired conditions based on physician documentation
  • Work with CDS staff and physicians to identify documentation improvement opportunities that support accurate coding, Risk of Mortality (ROM), Severity of Illness (SOI), and DRG assignment
  • Query physicians when code assignment conflicts with documentation or when electronic medical record documentation is inadequate
  • Stay current on coding guidelines, reimbursement, and reporting requirements
  • Maintain coding accuracy rates in alignment with department goals and objectives
Requirements & Qualifications

Education

  • High School Diploma or GED

Licensure and Certifications

  • RHIA, RHIT, CCS, CIC, or CPC required

Experience

  • Minimum of 6 months of coding experience required
  • Minimum of 2 years of inpatient coding experience preferred
  • Experience with Clinical Documentation Improvement programs and clinical validation preferred
  • Working knowledge of quality metrics and risk adjustment coding impacts preferred

Location

Arkansas, US

Employment Type

Full-time

Experience Level

Entry Level

Remote work allowed

No

Posted

1 week ago

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