Outpatient Coder 2

Jackson Health•Miami, FL

5d•Remote

About The Position

The HIM Outpatient Coder 2 codes and abstracts outpatient medical records, including outpatient surgeries, GI procedures, and cardiac catheterizations. The role reviews clinical documentation in patient health records and assigns and sequences ICD-9 and CPT codes for reimbursement and data collection, with the ability to transition to ICD-10-CM/PCS. The position is remote and limited to Florida residents.

Requirements

Generally requires 3 to 5 years of related experience.
High school diploma required.
For employees hired after June 2015, an HIM/coding credential and/or certification from AHIMA or AAPC is required.
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.

Nice To Haves

AHIMA ICD-10-CM/PCS Trainer preferred.

Responsibilities

Code outpatient surgeries, including GI procedures and cardiac catheterizations, 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 abstracted information are applied to the appropriate patient encounter.
Review records for coding purposes and identify documents that do not belong to the patient or encounter.
Ensure accuracy when applying appropriate modifiers to outpatient encounters.
Review documentation and query physicians when additional information is needed to clarify a diagnosis, symptom, or reason for services.
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 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 relevant outpatient record type.
Participate in Jackson Health Systems ICD-10-CM/PCS education sessions and demonstrate competency based on the education received.
Adhere to Standards of Excellence and respect others’ rights, privacy, and property, including maintaining confidentiality in accordance with 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.