Hospital Outpatient Coder V - Surgery/OBS (1.0)

Franciscan Alliance, Inc.
115d$21 - $31

About The Position

The Coder V Specialist- Hospital Outpatient Surgery and Monthly Series reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on hospital surgery, observation and monthly series services. This position abstracts key data elements necessary for billing and data analysis.

Requirements

  • High school diploma/GED - Required
  • Associates Degree or Bachelors Degree - Preferred
  • CCS - Required or RHIT/RHIA - Required
  • 2 years coding experience - Required
  • Surgery coding experience - Required

Responsibilities

  • Accurately review and code patient records in the following clinical areas: Acute - Outpatient, Acute - All Inpatient Service Lines, and Ambulatory Level 3 Specialty Services, as reflected in the Franciscan Coding Tier Matrix.
  • Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines.
  • Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines.
  • Notify coding leadership of trends and topics for education and feedback to physicians and departments.
  • Identify and enter data elements for abstracting.
  • Participate actively in performance improvement teams, projects, and committees.
  • Serve as a Superuser and assist with system testing.
  • Serve as a backup to coding reimbursement specialist.
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