Outpatient Coder II, HB Coding

Job Description:

• Assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
• Thoroughly review medical records and available documentation to code diagnoses and procedures
• Interpret health record documentation using anatomy, physiology, clinical disease process, pharmacology, and medical terminology knowledge
• Send physician queries when documentation clarification is required
• Follow Coding Clinic, CPT Assistant, coding conventions, and instructional notes
• Analyze system-related changes and participate in testing software modifications
• Identify opportunities to enhance computer-assisted coding and notify the IT liaison of filing or code-assignment issues
• Resolve NCCI Edits using approved hospital modifiers
• Use 3M Encoder resources to ensure coding accuracy
• Articulate rationale for coding selections when necessary
• Meet established coding productivity and quality standards for each outpatient encounter type
• Code complex outpatient encounters including Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed

Requirements:

• 3-4 years of coding experience in an acute healthcare setting
• RHIT, RHIA or CCS credentialed
• Credentialed by the AHIMA (American Health Information Management Association)
• Complete 20-30 continuing education credits every two years to remain credentialed
• Ability to work with minimal supervision
• Knowledge of ICD-10-CM diagnosis coding, HCPCS, CPT codes and modifiers
• Knowledge of anatomy, physiology, clinical disease processes, pharmacology, and medical terminology
• Knowledge of HCPCS Level I and II, Chargemaster, CPT soft codes, approved facility modifiers, NCCI Edits, Coding Clinic, CPT Assistant, and 3M Encoder
• Minimum coding accuracy of 95%
• Minimum coding productivity of 90%
• Must reside in Illinois, Indiana, Iowa, Wisconsin, or Missouri
• Background check required for newly hired team members and, at times, internal transfers
• Bachelor's degree in a related field preferred
• 4 years of coding experience in an acute healthcare setting preferred

Benefits:

• Sign-on bonus eligibility
• Tuition reimbursement
• Loan forgiveness
• 401(k) matching
• Lifecycle benefits
• Benefits supporting physical, emotional, and financial well-being
• Protection for unexpected life events