About The Position

As an experienced coder, you will be responsible for providing coding and abstracting services for clients on outpatient, pediatric surgery CPT records using ICD-10-CM, CPS, and CPT coding systems. You will use established coding principles, software, and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record. As a coding leader, you will participate in industry forums as well as support coding education within the team.

Requirements

  • Excellent verbal and written communication skills.
  • Must have a minimum of 3 years or more of related medical coding experience.
  • Pediatric Facility, outpatient, surgery experience
  • Understands medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes.
  • Extensive knowledge of ICD-10-CM and CPS, and CPT coding principles and guidelines, reimbursement systems, federal, state, and payor-specific regulations and policies pertaining to documentation, coding, and billing.
  • Must pass coding proficiency test.
  • Requires strong interpersonal communication skills, both verbal and written.
  • Requires a high level of coding accuracy and attention to detail.
  • Excellent oral and written communication skills – must be detailed and articulate.
  • Strong knowledge of Microsoft Word, Excel, PowerPoint, and Outlook is required.
  • Either CCS, CPC.

Responsibilities

  • Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter.
  • Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures, using the UHDDS definition.
  • Ensures appropriate DRG assignment.
  • Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
  • Consistently meet productivity and quality performance requirements.
  • Responsible for utilizing company applications to enter charts coded in real-time throughout the scheduled shift.
  • Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
  • Participate in team meetings and all training required by company staff or the client.
  • May be asked to participate in training or shadowing of other coders.
  • Flexibility in assignment over multiple clients to ensure meeting the required classification hours.
  • Participate in Coding Roundtables through the presentation of materials, articles, and current issues related to coding and Health Information Management.
  • Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
  • Participates in education modules as assigned.
  • Responsible for keeping coding credentials up to date and active.
  • Maintains effective and professional communication skills.
  • Contributes to a positive company image by exhibiting professionalism, adaptability and mutual respect.
  • Additional duties as assigned.

Benefits

  • Healthcare
  • 401(k)
  • Paid time off
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