Medical Coder - Outpatient

Position Summary

Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding in accordance with accepted medical and legal standards. Responsible for reviewing physician-selected CPT, HCPCS, and ICD-10-CM codes against physician documentation to substantiate the level of coding for specialty outpatient encounters, including E/M clinic encounters, infusion services, procedures within specialty practices, and related infusion therapy suites. The outpatient medical coder will abstract other required data elements and work with the department and practices to obtain necessary information to accurately code and bill claims to payers. Other tasks may include account creation and charge entry as needed.

Core Job Functions

• Assign codes according to regulatory guidelines.
• Query physicians for missing documentation to ensure accurate coding.
• Keep accounts from being finalized until responses are received.
• Abstract other key data elements for regulatory reporting.
• Review records for additional information required for claim submission.
• Apply occurrence codes when not captured at admission.