Certified Outpatinet Coding Specialist

St. Luke’s University Health Network • Allentown, PA

1d • Onsite

About The Position

The Certified Outpatient Coding Specialist codes and abstracts all pertinent patient medical information according to AHA ICD-10-CM/PCS and AMA CPT-4 Coding conventions, UHDDS guidelines and CMS directives. Completes data entry of abstracted inpatient/outpatient diagnosis and/or procedure codes to Network’s health information system. Collaborates with the Health Information/Medical Records, Admissions and Finance departments to ensure appropriate flow of information.

Requirements

• Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting.
• Knowledge of anatomy and physiology, pathophysiology, and medical terminology required.

Nice To Haves

• RHIA, RHIT CCS, and/or CPC from an accredited Health Information Technology or Management program.
• Previous experience with EPIC health information computerized patient record and 3M encoding system preferred.
• If candidate is RHIA, RHIT, CCS and/or CPC -eligible or possess no credentials, then candidate will be expected to obtain their AHIMA/AAPC credential within three years of hire date to retain position with St. Luke’s University Health Network.

Responsibilities

• Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations
• Utilizes the 3M Encoder to verify and assign AHA ICD-10-CM/PCS and AMA CPT-4 codes, and MS-DRG/APR-DRG assignment
• Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews
• Maintains daily productivity and turnaround times as outlined in Department’s Performance Improvement plan
• Responsible for remaining up-to-date with knowledge of AHA ICD-9-CM/ICD-10-CM/PCS and AMA CPT-4 coding conventions, MS-DRG and APR-DRG principles and guidelines
• Maintains a working knowledge of prospective payment systems as it relates directly to coding process
• Participation in department and sectional meetings, education sessional sessions and workshops as scheduled
• Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree