Hospital Outpatient Coder II
Prisma Health
full-time
Posted on:
Location Type: Remote
Location: Remote • South Carolina • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Codes medical information into the organization billing/abstracting systems for multiple facilities.
- Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes.
- Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding.
- Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.
- Adheres to department standards for productivity and accuracy.
- Operates under the general supervision of HIM Coding leadership.
- Reviews work queues daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines.
- Follows up on on-hold accounts daily for final coding.
- Responds to and follows up on priority accounts daily and any accounts assigned by Patient Financial services or Coding leader(s) for final coding.
- Communicates with leader when trending requests volumes impact productivity.
- Queries physician or clinical area following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy.
- Applies ICD and CPT codes to the Emergency department, outpatient ambulatory clinic records and ancillary service records based on review of clinical documentation and according to Official coding guidelines; assigns modifiers.
- Performs other duties as assigned.
Requirements
- Certification Program, Associate degree or coding certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other approved coding certification program.
- Two (2) years of coding experience in an acute care or ambulatory setting.
- Outpatient coding experience.
- Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CCP-H), or Certified Outpatient Coder (COC).
- Demonstrates proficiency in utilizing official coding books as well as the electronic medical record and computer assisted coding/encoding software to facilitate code assignment.
- Ability to concentrate for extended periods of time; ability to solve problems with close attention to detail and to work and make decisions independently.
- Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
Benefits
- Inspire health.
- Serve with compassion.
- Be the difference.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD codingCPT codingHCC codingOutpatient codingEmergency Department codingambulatory clinic codingdiagnostic codingancillary codingmedical terminologyanatomy and physiology
Soft skills
attention to detailproblem-solvingindependent decision-makingcommunicationtime management
Certifications
Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)Certified Coding Specialist (CCS)Certified Coding Specialist-Physician (CCS-P)Certified Professional Coder (CPC)Certified Professional Coder-Hospital (CCP-H)Certified Outpatient Coder (COC)