Responsible for assigning and recording accurate medical codes for outpatient hospital records using ICD-10-CM, CPT, and HCPCS coding systems.

Key duties include:

Coding diagnoses, procedures, and operations documented by physicians
Ensuring accurate APC/APG assignment and diagnosis ranking
Clarifying documentation with providers when needed
Entering final codes and narrative descriptions into an automated grouper system
Abstracting medical record information for reports, statistics, and database entry
Responding to coding and documentation inquiries from hospital staff

Requirements & Qualifications

Minimum of 1 year of outpatient medical records coding experience in or for a hospital
High school diploma or equivalent required
Associate's or Bachelor's degree in Health Information Management may substitute for 1 year of experience
Current certification as CCS, CCS-P, or CPC
Strong knowledge of HCPCS, CPT, ICD codes, medical terminology, anatomy, and physiology
Ability to communicate effectively verbally and in writing
Ability to use computer applications and automated systems effectively

Benefits & Perks

Outpatient Coder