Coder - Outpatient

UMC Health System•Richmond, KY

About The Position

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. Job Summary The Coder-Outpatient is responsible for the ICD-10-CM, ICD-10-PCS, CPT and modifier assignment of diagnosis and procedures of an outpatient visit. Reports to: Job Specific Responsibilities Daily assignments may include but are not limited to: • Assign and sequence diagnostic and procedural codes for patient care, utilizing ICD-10, CPT, and HCPCS coding systems. • Ensure accurate and compliant coding of medical services and procedures based on clinical documentation. • Review patient records and physician documentation to validate coding accuracy and completeness. • Work collaboratively with healthcare providers and staff to clarify and address documentation discrepancies. • Maintain knowledge of current coding guidelines, insurance regulations, and compliance standards. • Assist in audits and reviews to ensure coding accuracy and adherence to billing requirements. • Resolve coding errors and respond to coding-related inquiries. • Protect patient confidentiality and adhere to HIPAA regulations. Education and Experience- • High School Diploma or GED Required Licensures/Certifications/Registrations • Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or an equivalent credential from an accredited organization • Certification must be obtained within 90 days of hire into the role Skills and Abilities- • Proficiency in ICD-10, CPT, and HCPCS coding systems. • Knowledge of medical terminology, anatomy, and physiology. • Strong attention to detail and organizational skills. • Ability to work independently and meet deadlines in a fast-paced environment. • Excellent communication and problem-solving skills. • Familiarity with electronic health record (EHR) systems and coding software. Interaction with Other Departments and Other Relationships Interacts with medical staff and ancillary areas in order to facilitate a quality multidisciplinary approach to patient care Physical Capabilities Work is mostly sedentary, but walking and standing frequently is required. Environmental/Working Conditions Position is indoors and not prone to hazardous materials but may experience constant changing indoor temperatures. Remote work available at supervisor’s discretion Direct Reports N/A UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Request for accommodations in the hire process should be directed to UMC Human Resources. Benefits: Resilience program Emotional Physical Spiritual Financial Career Community On-Site Professional Counselors (EAP) Discounted Pharmacy Cost Cash Retention Bonus (only one in our region) Retirement Benefits w/Employer Match PTO & Extended Illness Medical, Dental, & Vision Insurance And more at: https://apps.umchealthsystem.com/documents/wellness.pdf UMC Vision, Mission and Standards: Vision: To Serve Our Patients in the Best Teaching Hospital in the Country Mission Statement: Service is our passion. We serve by providing safe, high quality care to all, achieving excellent financial performance, and training tomorrow’s healthcare professionals. Standards of Excellence: Attitude, Communication, Responsiveness, Compassion, Teamwork, Ownership, Safety and Respect About UMC Magnet Designated 501 licensed beds 62 Site locations Regions only Level I Trauma Center Regions only BICU DNV accredited Primary teaching hospital for the Texas Tech University Health Sciences Center (TTUHSC) Ranked as one of the Best Places to Work in Texas by Texas Monthly UMC Physicians Culture, Vision, Mission, and Standards: Culture: Service is Our Passion Vision: The best place to work and the best place to receive healthcare. Mission Statement: To improve the quality of life for our community by providing the best patient experience for every patient. Standards: Teamwork, Respect, Accountability, Compassion, Kindness About UMCP 35 Practice Locations – private practices and urgent care centers Over 125 physicians and advanced practice providers Ranked as “One of the Best Places to Work in Texas” by Texas Monthly Employee Engagement Score of 96% measured by Press Ganey Associates

Requirements

High School Diploma or GED Required
Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or an equivalent credential from an accredited organization
Certification must be obtained within 90 days of hire into the role
Proficiency in ICD-10, CPT, and HCPCS coding systems.
Knowledge of medical terminology, anatomy, and physiology.
Strong attention to detail and organizational skills.
Ability to work independently and meet deadlines in a fast-paced environment.
Excellent communication and problem-solving skills.
Familiarity with electronic health record (EHR) systems and coding software.

Responsibilities

Assign and sequence diagnostic and procedural codes for patient care, utilizing ICD-10, CPT, and HCPCS coding systems.
Ensure accurate and compliant coding of medical services and procedures based on clinical documentation.
Review patient records and physician documentation to validate coding accuracy and completeness.
Work collaboratively with healthcare providers and staff to clarify and address documentation discrepancies.
Maintain knowledge of current coding guidelines, insurance regulations, and compliance standards.
Assist in audits and reviews to ensure coding accuracy and adherence to billing requirements.
Resolve coding errors and respond to coding-related inquiries.
Protect patient confidentiality and adhere to HIPAA regulations.