Role OverviewAssigns diagnosis and procedural codes to hospital outpatient medical records to facilitate reimbursement and data collection. Demonstrates complete understanding of Official Coding Guidelines, CCI edits, anatomy, physiology, and medical terminology. Reviews medical record documentation to determine and assign diagnoses, procedures, level codes, and modifiers.
What You Will Do
Assigns codes, analyzes, sequences, and validates codes based on medical record documentation. Ensures coding compliance, regulatory, and reimbursement requirements are met. Abstracts pertinent information into the coding abstracting system and hospital billing system.
Why It Might Be a Fit
Requires active CCS (AHIMA Certified Coding Specialist), CPC (AAPC Certified Professional Coder), RHIT (AHIMA Registered Health Information Management Technician), or COC (AAPC Certified Outpatient Coder). Must have at least 1 year of acute care hospital coding experience for complex outpatient encounters.
Requirements
- Active CCS (AHIMA Certified Coding Specialist), CPC (AAPC Certified Professional Coder), RHIT (AHIMA Registered Health Information Management Technician), or COC (AAPC Certified Outpatient Coder)
- Successful passage of Medical Record Department Outpatient Coding Exam, demonstrating understanding of coding and impact on reimbursement with a grade of 80% or better
- At least 1 year of acute care hospital coding experience for complex outpatient encounters
- Minimum 6 months of PC windows experience
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