Coder - Outpatient

Highmark Health
2d$21 - $33

About The Position

GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.

Requirements

  • Minimum High School/GED
  • Successful completion of coding courses in anatomy, physiology and medical terminology
  • 1 year of Hospital and/or Physician Coding
  • 1 year coding at mid-level facilities or clinics
  • 1 year coding major surgeries, observations and/or E/Ms
  • Medical Terminology
  • Strong data entry skills
  • An understanding of computer applications
  • Ability to work with members of the health care team
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Associate (RHIA)
  • Certified Coding Specialist Physician (CCS-P)
  • Certified Professional Coder (CPC)
  • Certified Outpatient Coder (COC)
  • CPC-A Certified Professional Coder - Apprentice

Nice To Haves

  • Associate's Degree in Health Information Management or related field

Responsibilities

  • Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%)
  • Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
  • Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
  • Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
  • Performs other duties as assigned or required. (5%)
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