Outpatient Coding Specialist

FirstHealth of the Carolinas, Inc.•Pinehurst, NC

About The Position

The Outpatient Coding Specialist reviews outpatient medical records, including Emergency Department and ambulatory surgery records, to accurately code diagnoses and procedures according to the patient’s plan of care and treatment. The role also identifies allowable Emergency Department charges when applicable and verifies that records contain appropriate documentation to support coding and charge assignments. The position is based in a primary office setting with an independent work environment and minimal office conversation to support concentration. The specialist must meet production and accuracy standards while managing deadlines and competing demands.

Requirements

  • Health Information Technology degree, a similar degree, or work-related coding experience.
  • College-level medical terminology and Anatomy and Physiology.
  • Working knowledge of CPT coding, modifier guidelines, and medical procedures.
  • Knowledge of DNV, Joint Commission, and other regulatory agency chart documentation requirements.
  • Ability to work independently and function as an integral team member within the department.
  • Understanding of prospective payment systems and coding guidelines.
  • Ability to work unsupervised and be self-motivated.
  • Computer skills, including data entry speed of 45 words per minute and experience in a Windows environment.
  • Ability to perform under pressure while meeting ongoing deadlines and production and accuracy standards.
  • Ability to use a computerized encoder.
  • Ability to manage competing demands.
  • Must achieve a minimum score of 85% on competency sampling.

Nice To Haves

  • CCS certification.
  • Experience with E/M assignment or drug administration coding.

Responsibilities

  • Review outpatient medical records, including Emergency Department and ambulatory surgery records.
  • Accurately code diagnoses and procedures based on the patient’s plan of care and treatment.
  • Identify allowable Emergency Department charges when applicable.
  • Verify that medical records contain appropriate documentation to support coding and charge assignments.

Benefits

  • Free gym membership at one of seven FirstHealth Fitness Centers.
  • Educational assistance programs through FirstU for academic or professional development.
  • Employee discounts through PerkSpot.
  • Retirement savings plan with an employer match.
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