Performs facility coding and abstracting for outpatient cases, including Emergency Department, Diagnostics, MSF and recurring patient types, Ambulatory Surgery, Observation, Outpatient in a Bed, and clinic charging/coding.
Responsibilities include coding and abstracting facility outpatient accounts, assigning ICD-9, ICD-10, and CPT-4 diagnoses and procedures, applying CPT modifiers, reviewing medical necessity against LCD/NCD guidelines, and clarifying incomplete or ambiguous documentation with physicians. The role also supports accurate clinic charging, retrieval of documentation from non-HIM systems, RAC and payer denial review support, transaction coding when documentation is insufficient, and completion of UB-04 reporting and demographic/account corrections.
High school diploma or GED required.
Completion of a 2-year program with coding certification from AHIMA or AAPC, or graduation from a HIM program with RHIA/RHIT certification.
Demonstrated knowledge of:
- ICD-9, ICD-10, and CPT-4 classification systems
- Advanced anatomy and physiology
- Medical terminology
- Ambulatory reimbursement schemes
- CMS Local Coverage Determination (LCD) and/or National Coverage Determination (NCD) guidelines
- General surgery coding, including complex surgical procedures
- Operative report interpretation
- Surgical anatomy
- CPT coding guidelines
- Modifier application
- National Correct Coding Initiative (NCCI) edits
Must have strong analytical and critical-thinking skills with the ability to independently review, interpret, and accurately code complex general surgery cases while maintaining compliance and accuracy.
Location
Columbus, Ohio, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 weeks ago