Certified Outpatient Coding Specialist

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

1d

About The Position

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. 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

• RHIA, RHIT CCS, and/or CPC from an accredited Health Information Technology or Management program.
• Will consider candidate with greater than 3 years experience in the coding field without coding credentials.
• 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.
• 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

• Previous experience with EPIC health information computerized patient record and 3M encoding system preferred.

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: No Education Listed