Outpatient Medical Coder 3

The Ohio State University
•Remote

About The Position

Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate reimbursement and data collection for OSU Health System business units. The position codes medical records and other documents at the conclusion of patient visits, selecting and sequencing appropriate diagnoses and procedures, and abstracting relevant admission, disposition, and physician information. Codes are selected using Computer Assisted Coding/Encoder Software after reviewing the electronic medical record in IHIS. Abstracted and coded information is interfaced to IHIS Resolute Billing. The coder addresses edits during coding and abstracting to ensure complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement. The employee maintains departmental productivity and quality standards, an approved work schedule, and submits a weekly volume log. The position requires maintaining continuing education requirements established by AHIMA or AAPC, reviewing coding references as needed to support education and compliance with official coding guidelines, and attending monthly coding meetings and education sessions. The senior medical records coder is expected to maintain a minimum score of 90% on coding assessments.

Requirements

  • Completion of a CAHIIM-approved coding certificate program or HIMT program, or equivalent education and experience.
  • Demonstrated coding proficiency by completing OSUWMC’s coding test.
  • Familiarity or experience with computer-assisted coding and/or automated encoders.
  • Associate’s degree in Health Information Management and at least 1 year of outpatient coding experience in ICD-10-CM and CPT for service types such as emergency, outpatient, ambulatory surgery, observation, and series/clinics; alternatively, 3 years of acute-care academic medical-center outpatient coding experience within an academic Health Information Management department for service types such as emergency, observation, outpatient, ASU, and series/clinics.
  • For promotion, ability to code at least four outpatient service types: ASU, observation, emergency, outpatient, and series/clinics.
  • Credential as an RHIT, RHIA, AHIMA Certified Coding Specialist (CCS), or AAPC Certified Outpatient Coder (COC).
  • Maintain continuing education requirements as determined by AHIMA or AAPC.

Responsibilities

  • Code medical records and other documents at the conclusion of patient visits.
  • Select and sequence appropriate admitting, principal, and secondary diagnoses, as well as principal and secondary procedures.
  • Assign accurate ICD-10 and/or CPT-4 codes.
  • Abstract information including admission source, type, disposition, and admitting, attending, and procedure attending physicians.
  • Review electronic medical record information in IHIS and use Computer Assisted Coding/Encoder Software to select codes.
  • Address edits during coding and abstracting to ensure complete and accurate coding and MS-DRG and APR-DRG assignment.
  • Maintain departmental productivity and quality standards and an approved work schedule.
  • Submit a weekly volume log.
  • Maintain continuing education requirements and review coding guidance to ensure official coding guidelines are followed.
  • Attend monthly coding meetings and coding education sessions and maintain a minimum 90% score on coding assessments.
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