Coder V, Special Hospital Outpatient Surgery

This is a fully remote position, open to applicants in United States.

📋 Description

• Conducts thorough reviews and coding of patient records for hospitalist rounds and office visits involving repetitive or non-invasive procedures.

• Analyzes medical records to assign ICD diagnosis codes, CPT procedure codes, modifiers, hierarchical condition categories, complications, and comorbidities.

• Assesses diagnosis and procedure codes and modifiers in accordance with Outpatient Code Editor and National Correct Coding Initiative edits.

• Examines clinical documentation to verify the patient's clinical status, treatments, and diagnoses.

• Detects missing, vague, or inconsistent documentation and seeks clarification as necessary.

• Identifies and inputs data elements for abstracting purposes.

• Achieves coding accuracy and productivity benchmarks.

• Utilizes coding guidelines independently, exercising discretion and analytical skills.

• Facilitates reimbursement, public reporting, quality of care, financial modeling, strategic planning, and marketing through precise coding.

• Stays updated on coding and industry advancements via educational opportunities.

• Informs coding leadership about trends and topics pertinent to physician and departmental education.

• Aids in process enhancements to optimize resources, minimize costs, and enhance coding services.

• Adheres to AHIMA/AAPC Standards of Ethical Coding and official coding guidelines.

⛳️ Requirements

• High School Diploma/GED - Required.

• Associate's Degree in Health Information Management - Preferred.

• Bachelor's Degree in Health Information Management - Preferred.

• 2 years of coding experience - Required.

• Experience in surgery coding - Preferred.

• CCS (Certified Coding Specialist) from the American Health Information Management Association (AHIMA) - Required.

• RHIT (Registered Health Information Technician) from the American Health Information Management Association (AHIMA) within 180 days - Required -or-

• RHIA (Registered Health Information Administrator) from the American Health Information Management Association (AHIMA) within 180 days - Required.

• Comprehensive knowledge of professional coding guidelines, medical terminology, anatomy/physiology, and payer-specific coding guidelines.

• Travel is required: Never or Rarely.

🏝️ Benefits

• Extensive benefit offerings for eligible employees.