Outpatient Coder I

University Hospital, Newark NJ•Newark, NJ

2d•$31 - $33

About The Position

The primary purpose of the Outpatient Coder I position is to perform medical record review of clinic visits, radiology reports, laboratory requisitions, and/or other diagnostic testing/reports as assigned. The coder will identify the appropriate E/M visit charge for clinics only and assign ICD-10 diagnosis code(s) and CPT procedure code(s) when appropriate to the encounter.

Requirements

High School Diploma or equivalent required
One (1) to two (2) years of medical records and outpatient coding experience (technical and hospital) required
New graduates or senior students in Health Information Management (HIM), Health Information Technology (HIT), or a related health field will be considered in lieu of experience
Knowledge of: Medical terminology, Anatomy and physiology, Disease processes, Coding Clinic guidelines
Knowledge of outpatient ICD-10 and CPT-4 coding principles and guidelines required
Must be able to read, write, and speak English
Excellent verbal and written communication skills required
Detail-oriented, accurate, well-organized, and able to work independently
Working knowledge of computers and ability to navigate the internet
Proficient in Microsoft Office, especially Excel, Outlook, and shared files used daily
Availability to work evenings and/or weekends as required

Nice To Haves

Prior experience using an encoder (Clintegrity 360) and navigating an electronic medical record is a plus
Ability to balance multiple and changing priorities

Responsibilities

Review outpatient medical records, including clinic visit documentation, radiology reports, laboratory requisitions, and other assigned diagnostic reports.
Analyze clinical documentation to support accurate coding and billing.
Determine and assign the appropriate Evaluation and Management (E/M) charges for clinic encounters only.
Assign correct ICD-10 diagnosis codes based on documented conditions.
Assign applicable CPT procedure codes when supported by the encounter documentation.