Senior Coder - Outpatient

Highmark Health
$23 - $37

About The Position

GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.

Requirements

  • Minimum High School/GED
  • 5 years of Hospital and/or Physician Coding
  • 1 year of Coding - all specialties and service lines
  • Extensive knowledge in Trauma/Teaching/Observation guidelines
  • Successful completion of coding courses in anatomy, physiology and medical terminology
  • Any of the following: Certified Coding Specialist (CCS) Registered Health Information Technician (RHIT) Registered Health Information Associate (RHIA) Certified Coding Specialist Physician (CCS-P) Certified Professional Coder (CPC) Certified Outpatient Coder (COC)

Nice To Haves

  • Associate's Degree

Responsibilities

  • Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
  • Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
  • Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
  • Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)
  • Acts as a mentor and subject matter expert to others. (5%)
  • Performs other duties as assigned or required. (5%)

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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