Outpatient Coder II

DCH Health System•Tuscaloosa, AL

About The Position

Individual is responsible for coding all OP work types (ED, CLI, REF, RCR, OBS, SDC) for the purpose of reimbursement, research, and compliance with federal regulations. Applies ICD-10 diagnosis and CPT procedure codes and appropriate APC or E- APG. Coder must abstract statistical data from records into hospital abstracting system in accordance with hospital policies and procedures. Individual must have knowledge of ICD-10, CPT, APCs, E-APG’s, federal and state coding guidelines.

Requirements

Associates or bachelor’s degree in Health Information Technology from an AHIMA/CAHIIM accredited college or graduate of an AHIMA accredited medical coding program.
3 year of hospital coding experience.
Must pass the DCH coding proficiency assessment for outpatient coders.
Some computer or computerized encoder experience required.

Nice To Haves

RHIA, RHIT, CCS or CIRCC preferred.

Responsibilities

Reviews patient’s entire current medical record and assigns appropriate ICD-10 diagnosis and CPT procedure codes according to accepted coding guidelines and hospital’s policies and procedures.
Assigns accurate APC and E-APG’s to patient’s record utilizing hospital encoding system.
Corrects any edits flagged by encoder and financial system.
Understands and applies modifiers appropriately.
Accurately abstracts statistical data from records using hospital abstracting system.
Attends hospital sponsored coding educational programs and department coding meetings.
Participates in and practices lean management principles and processes.
Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
Performs compliance requirements as outlined in the Employee Handbook
Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
Requires use of electronic mail, time and attendance software, learning management software and intranet.
Must adhere to all DCH Health System policies and procedures.
All other duties as assigned.