Hospital Outpatient Surgery Coder

Hospital Outpatient Surgery Coder

I. POSITION SUMMARY:

Under direct supervision from the Director of coding, the Outpatient Coder reviews facility outpatient surgery medical records. The Coder works independently daily and is responsible for assigning codes with a high degree of accuracy.

II. PRIMARY JOB RESPONSIBILITIES:

  • Reviews outpatient medical records to assign ICD, CPT, HCPCS codes accurately
  • Meets and exceeds productivity and quality standards (target is 6.25/hour)
  • Reviews physician documentation to code accurately
  • Updates charges (as needed) and processes the records in a timely manner
  • Reviews tasks and corrects codes as needed
  • Provide training to fellow staff to improve coding outcomes as needed

III. ADDITIONAL JOB RESPONSIBILITIES:

  • Performs miscellaneous job-related duties as assigned.

IV. POSITION QUALIFICATIONS:

Education:

  • High School Diploma or GED Required with completion of a coding certification program
  • Associate’s degree in health information management or similar preferred

Experience:

  • Minimum 2 years of outpatient coding experience in hospital facility and/or professional coding
  • ICD-10, CPT, HCPCS experience required
  • Minimum 2 years’ experience that are directly related to the duties and responsibilities specified above.

Licensure/Credentials:

Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS)

Knowledge, Skills, and Abilities: Working knowledge of coding guidelines

  • Ability to use independent judgment and to manage and impart confidential information.
  • Advanced knowledge of medical coding, electronic medical record systems, coding systems.
  • Ability to analyze and solve problems.
  • Strong communication and interpersonal skills.
  • Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation.
  • Knowledge of current and developing issues and trends in medical coding diagnosis and procedure code assignment.
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