Outpatient Coder 1

Jackson Health•Miami, FL

6d•Remote

About The Position

The HIM Outpatient Coder 1 codes and abstracts outpatient medical records, including emergency room, clinic, diagnostic, and recurring visits. The role reviews clinical documentation in patient health records and accurately assigns and sequences ICD-9 and CPT codes for reimbursement and data collection, with the ability to transition to ICD-10-CM. The position is remote and limited to Florida residents.

Requirements

High school diploma required.
Generally requires 0 to 3 years of related experience.
Employees hired after June 2015 must have an HIM/coding credential and/or certification from AHIMA or AAPC.
Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
Ability to communicate effectively orally and in writing.
Ability to handle difficult and stressful situations with critical thinking and professional composure.
Ability to understand and follow instructions.
Ability to exercise sound and independent judgment.
Knowledge and skill in using job-appropriate technology and software applications.

Responsibilities

Code outpatient diagnostics, outpatient clinics, recurring visits, and emergency room visits using ICD-9 or CPT codes as appropriate.
Maintain a yearly average accuracy rate of 94% during internal and/or external coding audits.
Verify patient information, identify discrepancies, and ensure codes and other abstracted information are applied to the correct patient encounter.
Review records for coding purposes and identify documents that do not belong to the patient or the correct encounter.
Use appropriate modifiers accurately when coding outpatient encounters.
Assess documentation and query physicians when additional information is needed to clarify a diagnosis, symptom, or reason for services provided.
Ensure codes reflect the care provided to support patient safety, accurate data retrieval, and accurate reimbursement.
Evaluate whether documented data substantiates the diagnosis and treatment and is internally consistent as required by accreditation standards.
Recognize and report unusual circumstances or information with possible risk factors to the Coding Assistant Administrator, Coding Associate Administrator, or Coding Director.
Meet continuing education requirements established by AHIMA and/or AAPC to maintain certification and competency.
Meet productivity standards according to AHIMA guidelines for the applicable outpatient record type.
Participate in Jackson Health Systems' ICD-10 education sessions and demonstrate competency in the education received.
Complete JHS educational requirements, including Safety, Infection Control, and AIDS Awareness, and follow hospital-wide and department-specific safety and infection-control standards.
Adhere to Standards of Excellence and respect the rights, privacy, and property of others, including maintaining confidentiality under administrative policies, HIPAA guidelines, and applicable laws and regulations.
Demonstrate service excellence and CARE values: Compassion, Accountability, Respect, and Expertise.
Perform other related duties as assigned.