Outpatient Coding Specialist, (Per Diem)
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About The Position
The Outpatient Health Information Coding and Reimbursement Specialist is responsible for assigning, analyzing, sequencing, and validating codes based on medical record documentation using automated encoders and other coding compliance resources. This role requires a complete understanding of Official Coding Guidelines, CCI edits, anatomy, physiology, and medical terminology to accurately code complex outpatient encounters, including those from oncology/infusion clinics, outpatient surgery, and observation encounters. The specialist reviews medical record documentation to assign diagnoses, procedures, level codes, and modifiers to ensure appropriate coding for hospital reimbursement. Additionally, they ensure compliance with coding regulations and reimbursement requirements, abstract pertinent information into coding and billing systems, and assess the adequacy of documentation by querying healthcare providers for clarification when necessary. The position also involves maintaining productivity standards, achieving accuracy rates, and assisting in the orientation and development of new coding personnel. Continuous professional development and monitoring of coding performance are essential aspects of this role.
