Coder - Outpatient Surgical/Anesthesia
About The Position
The Coder - Outpatient Surgical/Anesthesia performs thorough medical record reviews to abstract medical and demographic data and applies ICD-10-CM and CPT coding systems to diagnoses and procedures. The role also supports reducing average accounts receivable days by helping manage unbilled coding information and related cash flow. The coder abstracts data for statistical requests and enters coded information into designated systems. The position requires keeping current with coding guideline updates through training and reference resources, and complying with applicable privacy, information security, legal, and business conduct requirements.
Requirements
- High school diploma or GED.
- Successful completion of coding courses in anatomy, physiology, and medical terminology.
- At least 1 year of hospital and/or physician coding experience.
- At least 1 year of coding at mid-level facilities or clinics.
- At least 1 year of coding major surgeries, observations, and/or E/Ms.
- Knowledge of medical terminology.
- Strong data entry skills.
- Understanding of computer applications.
- Ability to work with members of the health care team.
- 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.
Responsibilities
- Review and interpret medical information, physician treatment plans, course, and outcomes to determine appropriate ICD-10-CM and 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.
- Support efficient management of medical information and cash flow related to the unbilled coding report.
- Keep informed of ICD-10-CM and CPT guideline changes by attending training, reviewing coding clinics and other resources, and applying updates in daily work.
- Perform other duties as assigned or required.
- Protect confidential information and comply with HIPAA, company privacy and information security policies, the Code of Business Conduct, applicable laws and regulations, 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
