Coder - Outpatient (Obstetrical Focus)
About The Position
This role performs thorough medical record reviews to abstract medical and demographic data, interpret diagnoses and procedures, and apply ICD and CPT coding systems. The position also supports efforts to decrease average accounts receivable days, including efficient management of medical information and the unbilled coding report. The role reviews physician treatment plans, the course of care, and outcomes to determine appropriate ICD-10-CM and CPT codes. It abstracts and enters data for statistical requests, keeps current with coding guideline changes, and applies updates in daily work. Employees must protect confidential information and comply with HIPAA, information security requirements, the Code of Business Conduct, applicable laws, company policies, and training requirements.
Requirements
- High school diploma or GED.
- Successful completion of coding courses in anatomy, physiology, and medical terminology.
- One year of hospital and/or physician coding experience.
- One year of coding at mid-level facilities or clinics.
- One year of coding major surgeries, observations, and/or E/Ms.
- Medical terminology knowledge.
- Strong data-entry skills.
- Understanding of computer applications.
- Ability to work with members of the health care team.
- At least one of the following credentials: RHIT, RHIA, CCS-P, CPC, COC, or CPC-A.
Nice To Haves
- Associate's degree in Health Information Management or a related field.
- Experience coding obstetrical or women's health services.
Responsibilities
- Review and interpret medical information, physician treatment plans, course of care, and outcomes to determine appropriate ICD-10-CM/CPT codes for diagnoses and procedures.
- Abstract data elements for statistical requests from the hospital, health system, medical staff, and others, and enter coded or abstracted information into the designated system.
- Manage medical information and cash flow efficiently as related to the unbilled coding report.
- Stay informed about ICD-10-CM/CPT guideline changes by attending training and reviewing coding clinics and other resources, and implement updates in daily work.
- Perform other duties as assigned or required.
- Protect covered information, cardholder data, and confidential customer information, and comply with HIPAA and company data security requirements.
- Comply with the Code of Business Conduct, applicable laws and regulations, company policies, and training requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
