Duration:
6 weeks
Job Description:
Essential Functions
- Responsible for coding retrospective outpatient accounts using ICD-10 CM, CPT, HCPCS, and Modifiers in compliance with the Official Coding Guidelines and conventions.
- Accurately identifies most appropriate Reason for Visit, First Listed, and all Secondary Diagnosis as appropriate, and all Procedures as appropriate to support medical necessity and resolve LCD, NCD, and CCI edits.
- Validates charge-master driven CPT code assignments and routes appropriately.
- Accurately abstracts required data elements including, discharge disposition, procedure dates and physician(s), applicable occurrence codes, and other designated data.
- a) Identifies when a physician query is appropriate for further clarification
- b) Recognizes when the documentation is missing or incomplete and routes appropriately
- c) Completes review and final coding when query and/or documentation is available
- Maintain the Quality Standards set by Client/HIM Coding.
- Maintain the Productivity Standards set by Client/HIM Coding.
- Mentor/train on designated coding service lines as requested to ensure quality.
- Maintains an expert level of knowledge of coding related guidelines and practices.
- Other duties as assigned
Minimum Qualifications
Education/Experience
- Required three to five (3-5) years acute hospital based coding experience. An equivalent combination of education and experience may be considered. Experience working in a remote environment preferred; required for PRN Coders
- Requires an advanced level of computer skills and knowledge
- Preferred knowledge of 3M 360 and Epic.
- Preferred Bachelor's Degree or Associate Degree in Health Information Management and/or closely related field
- Required; Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or AHIMA Certified Coding Specialist (CCS), AAPC Certified Outpatient Coder(COC), AAPC Certified Professional Coder (CPC)-Prior to 2014, or AAPC Certified Professional Coder-Hospital (CPC-H)
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