Outpatient Coder 2 [Remote], Health Information Management, Full Time, Days

Jackson Health • Miami, FL

99d

About The Position

HIM Outpatient Coder 2 is responsible for coding and abstracting outpatient medical records, including outpatient Surgeries, GI Procedures and Cardiac Catheterizations. The Coder 2 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM/PCS.

Requirements

• Generally requires 3 to 5 years of related experience.
• At least three years of prior outpatient coding in an inpatient hospital is highly preferred.
• High School diploma is required.
• Employee hired AFTER June, 2015 must be credentialed with an HIM/Coding Credential and/or Certification by AHIMA or AAPC.
• AHIMA ICD10-CM-PCS Trainer preferred.

Responsibilities

• Codes outpatient surgeries, including GI Procedures and Cardiac Catheterization procedures using ICD-9 or CPT codes as appropriate.
• Maintains a yearly average accuracy rate of 94% during internal and/or external Coding audits.
• Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted information is applied to the appropriate patient's encounter.
• Serves as a quality reviewer and identifies any documents not belonging to the patient, or the correct patient's encounter.
• Ensures the accuracy when using the appropriate modifiers while coding outpatient's encounters.
• Assesses documentation and queries the physician for additional information when indicated to clarify a diagnosis, symptom or any reason for services provided.
• Ensures all codes reflect the care rendered to the patient to ensure patient safety, accuracy of data retrieval and provides the organization with accurate reimbursement.
• Evaluates to determine that data documented substantiates the diagnosis and treatment and is internally consistent as required by accreditation standards.
• Recognizes and reports unusual circumstances and/or information with possible risk factors to the Coding Associate Administrator or the Coding Director.
• Meets continuing education requirements established by AHIMA and/or AAPC to maintain appropriate certification and competency in job skills and knowledge.
• Meets productivity standards according to AHIMA Guidelines depending on outpatient record type.
• Actively involved in all ICD-10-CM/PCS education sessions provided by Jackson Health Systems.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: High school or GED