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Sr. Outpatient Coder

Contract-to-Hire

Medasource

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Position: Sr. Outpatient Coder

Location: Remote

Duration: 6 Month Contract to Hire

Start Date: ASAP

Overview:

At our client, the Senior Outpatient Coder is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.  Responsible for assigning diagnostic and procedural codes to encounters of high complexity. Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. Maintains and achieves departmental standards of abstracting quality by reviewing the discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/resources for accuracy. Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines

Must Have Qualifications:

  • RHIA, RHIT, or CCS Certification
  • 5+ Years OPC experience
  • Experience in a complex enterprise AMC w. Transplant/Ortho/Neuro/Day Surgery and Observation/Cardio

Education:

  • Associate’s degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program required or additional two years of experience (in addition to the minimum experience requirements listed below) required in lieu of degree

 

Key Skills and Day to Day:

  • Responsible for assigning diagnostic and procedural codes to encounters of high complexity. Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in accordance with hospital policy and regulatory body guideline.
  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
  • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
  • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
  • Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance
  • Knowledge of an electronic medical record and imaging systems
  • Working knowledge of medical terminology, anatomy and physiology
  • Proficiency with electronic encoder application
  • Extensive PC knowledge – must be able to work effectively in common office software, coding software and abstracting systems

Medasource provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, national origin, age, sex, citizenship, disability, genetic information, gender, sexual orientation, gender identity, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state, and local laws.

JO-2205-122824

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