Outpatient Medical Coder 3

The Ohio State University

9d•Remote

About The Position

Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients 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 assigned based on information reviewed for accuracy in IHIS during the coding process. The position is responsible for coding medical records and other documents at the conclusion of the patient’s visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians. Codes are selected in the Computer Assisted Coding/Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement. This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.

Requirements

Minimum completion of a CAHIIM approved coding certificate program or HIMT program or equivalent education & experience.
Demonstrated coding proficiency through the completion of OSUWMC’s coding test.
Familiarity or experience with computer assisted coding and/or automated encoder.
Associate’s Degree in Health Information Management.
Minimum of 1 year outpatient coding experience that include the following service lines: cancer, transplant, obstetrics, rehabilitation and cardiology.
Ability to code at least 3 of the 5 inpatient service locations: University Hospital, University Hospital East, James Cancer Hospital, Ross Heart Hospital and Dodd Rehabilitation Hospital.
3 years’ acute care academic medical center outpatient coding experience within an academic Health Information Management department (service lines must include cancer, transplant, obstetrics, rehabilitation and cardiology).
Ability to code at least 3 of the 5 outpatient service locations: University Hospital, University Hospital East, James Cancer Hospital, Ross Heart Hospital and Dodd Rehabilitation Hospital.
Credentialed as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) by the American Health Information Management Association.
Certification: RHIA, RHIT, CCS, or COC (outpatient credential only)
Maintain continuing education requirements as determined by the American Health Information Management Association or AAPC.
Final candidates are subject to successful completion of a background check.
A drug screen or physical may be required during the post offer process.

Nice To Haves

Ability to code at least 3 of the 5 inpatient service locations: University Hospital, University Hospital East, James Cancer Hospital, Ross Heart Hospital and Dodd Rehabilitation Hospital.
Ability to code at least 3 of the 5 outpatient service locations: University Hospital, University Hospital East, James Cancer Hospital, Ross Heart Hospital and Dodd Rehabilitation Hospital.

Responsibilities

Assigns diagnosis and procedural codes to inpatient and outpatient medical records.
Applies ICD-10-CM/PCS diagnoses and procedure codes to inpatients.
Applies CPT-4 procedure codes to all outpatients.
Assigns medical record abstract data based on information reviewed for accuracy in IHIS.
Codes medical records and other documents at the conclusion of the patient’s visit.
Selects appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures.
Assigns accurate ICD-10 and/or CPT-4 codes.
Sequences the diagnoses and procedures codes.
Abstracts information including admission source, type, disposition, admitting, attending and procedure attending physicians.
Selects codes in the Computer Assisted Coding/Encoder Software following review of information in the electronic medical record system, IHIS.
Addresses all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement.
Maintains productivity and quality standards set for the department.
Maintains an approved work schedule.
Submits a weekly volume log.
Maintains continuing education requirements.
Reviews Coding Clinics, CPT assistant as frequently as needed for education purposes, and to ensure the official coding guidelines are followed.
Attends monthly coding meetings and coding education sessions for updates on coding guidelines and related issues while maintaining a minimum score of 90% on coding assessments.