Outpatient Medical Coder 2

The Ohio State University

1d • Remote

About The Position

This area codes outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Wexner Medical Center and The James Cancer Hospital. ICD-10-CM codes are assigned for the diagnoses of all outpatients treated within the OSU Health System. ICD-10-CM diagnoses and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is reviewed for accuracy in EPIC/IHIS before completing the chart. This position is responsible for coding some or all the following types of records: emergency room, outpatient clinic including oncology clinic, observation, and other ancillary areas. This position is responsible for reviewing, analyzing, and resolving hospital claim edits that prevent claims from being billed or paid. This position supports accurate and timely revenue capture by identifying and correcting claim errors related to coding, medical necessity, registration, and payer-specific requirements.

The position is primarily responsible for coding and outpatient claim edit review of medical records and other documents at the conclusion of the patient’s visit. This requires the selection of appropriate admitting diagnosis, first listed and secondary diagnoses, and sequencing diagnoses and procedures. Codes flow from the Encoder Software to EPIC/IHIS Resolute Billing system. This staff member is responsible for complete and accurate coding for hospital reimbursement, research, and planning, in accordance with productivity and quality standards set for the department, and maintaining an approved work schedule.

Requirements

• Minimum completion of a CAHIIM approved coding certificate program or HIMT program.
• Demonstrated coding proficiency through satisfactory completion of OSUWMC’s coding test.
• Familiarity or experience with computer-assisted coding and/or automated encoder.
• Required for hospital coding: Credentialed as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) by the American Health Information Management Association; or Certified Outpatient Coder (COC), formerly CPC-H, by AAPC.
• Radiation Oncology Certified Coder by AMAC (note: applicable if only coding Radiation Oncology accounts).
• Maintain continuing education requirements as determined by the American Health Information Management Association or American Academy of Professional Coders.
• Review Coding Clinics, CPT assistant as frequently as needed for education purposes, and to ensure the official coding guidelines are followed.
• The medical records coding specialist attends coding meetings and coding education sessions for updates on coding guidelines and related education opportunities.

Responsibilities

• Coding outpatient medical records
• Assigning ICD-10-CM codes for diagnoses
• Applying ICD-10-CM diagnoses and CPT-4 procedure codes
• Reviewing medical record abstract data for accuracy in EPIC/IHIS
• Coding emergency room, outpatient clinic, oncology clinic, observation, and other ancillary areas records
• Reviewing, analyzing, and resolving hospital claim edits
• Identifying and correcting claim errors related to coding, medical necessity, registration, and payer-specific requirements
• Selecting appropriate admitting diagnosis, first listed and secondary diagnoses, and sequencing diagnoses and procedures
• Ensuring complete and accurate coding for hospital reimbursement, research, and planning
• Maintaining productivity and quality standards
• Maintaining an approved work schedule

Benefits

• Eligible Ohio State employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance for employees and their dependents, and state or alternative retirement options with competitive employer contributions.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed