Observation Coder – Health Information Management
McLeod Health
full-time
Posted on:
Location Type: Remote
Location: South Carolina • United States
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About the role
- The Observation Coder is responsible for accurately assigning diagnosis and procedure codes to observation discharges at all McLeod Health facilities.
- Possess outpatient coding knowledge and experience necessary to accurately assign ICD-10-CM codes for principal diagnosis and any applicable secondary diagnoses on all Observation encounters.
- Possess outpatient coding knowledge and experience necessary to accurately assign CPT procedure codes for principal procedure and any applicable secondary procedures on all Observation encounters to arrive at the most appropriate APC assignment.
- Understands and appropriately assigns all applicable modifiers to CPT procedure codes and ancillary charges required to prevent billing edits.
- Queries physicians appropriately when documentation is not clear in the medical record.
- Maintains department specific productivity standards with a 95% accuracy rate.
Requirements
- 1 to 2 years of Hospital observation coding in Medical Records.
- High School/GED.
- Health Info Mgt Association or AAPC certification.
Benefits
- Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
- Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available.
- Respects patient confidentiality at all times.
- Performs other backup duties as assigned.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CM codingCPT codingdiagnosis codingprocedure codingmodifier assignmentbilling editsmedical record documentation
Soft Skills
attention to detailcommunicationquerying physiciansproductivity standards
Certifications
Health Info Management Association certificationAAPC certification