Coder - Certified (Outpatient)

Western Missouri Medical CenterWarrensburg, MO
Onsite

About The Position

The Certified Coder will play a key role in converting diagnoses and treatment procedures into ICD-10, CPT and HCPCS codes. The Coder will review and accurately code office and hospital procedures for reimbursement.

Requirements

  • High school diploma or equivalent.
  • AHIMA or AAPC maintained credentials.
  • Knowledge of medical terminology and anatomy/physiology.
  • Professionalism, confidentiality, and organization.
  • Detail-oriented and able to self-regulate varied tasks.
  • Must be self-motivated and able to work within the established policies, procedures and practices prescribed by the hospital/clinic.

Responsibilities

  • Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
  • Researches and analyzes data needs for reimbursement.
  • Analyzes medical records and identifies documentation deficiencies.
  • Serves as resource and subject matter expert to other coding staff.
  • Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
  • Identifies diagnostic and procedural information.
  • Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
  • Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
  • Follows coding conventions.
  • Serves as coding consultant to care providers.
  • Identifies discrepancies, potential quality of care, and billing issues.
  • Researches, analyzes, recommends, and facilitates plans of action to correct discrepancies and prevent future coding errors.
  • Identifies reportable elements, complications, and other procedures.
  • Assists lead or supervisor in orienting, training, and mentoring staff.
  • Maintain and respect patient and employee privacy and confidentiality.
  • Maintain coding credentials.
  • Maintain coding education to keep current on coding guidelines and changes.
  • Maintain regular and predictable attendance.
  • Support the Medical Center’s Mission/Vision/Philosophy positively.
  • Handles special projects as requested.
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