Outpatient Coder I

Overview

About the Role

The primary purpose of the Outpatient Coder I position is to perform medical record review of clinic visits, radiology reports, laboratory requisitions, and/or other diagnostic testing/reports as assigned. The coder will identify the appropriate E/M visit charge for clinics only and assign ICD-10 diagnosis code(s) and CPT procedure code(s) when appropriate to the encounter.

Responsibilities

What You’ll Do

Review outpatient medical records, including clinic visit documentation, radiology reports, laboratory requisitions, and other assigned diagnostic reports.

Analyze clinical documentation to support accurate coding and billing.

Determine and assign the appropriate Evaluation and Management (E/M) charges for clinic encounters only.

Assign correct ICD-10 diagnosis codes based on documented conditions.

Assign applicable CPT procedure codes when supported by the encounter documentation.

Qualifications

What You’ll Bring

High School Diploma or equivalent required

One (1) to two (2) years of medical records and outpatient coding experience (technical and hospital) required

New graduates or senior students in Health Information Management (HIM), Health Information Technology (HIT), or a related health field will be considered in lieu of experience

Knowledge of:

Medical terminology

Anatomy and physiology

Disease processes

Coding Clinic guidelines

Knowledge of outpatient ICD-10 and CPT-4 coding principles and guidelines required

Prior experience using an encoder (Clintegrity 360) and navigating an electronic medical record is a plus

Ability to balance multiple and changing priorities

Must be able to read, write, and speak English

Excellent verbal and written communication skills required

Detail-oriented, accurate, well-organized, and able to work independently

Working knowledge of computers and ability to navigate the internet

Proficient in Microsoft Office, especially Excel, Outlook, and shared files used daily

Availability to work evenings and/or weekends as required

What We Offer

Medical & Prescription Drug Coverage

Dental & Vision Insurance

Health Savings Account (HSA) & Flexible Spending Account (FSA)

Short- & Long-Term Disability Insurance

Pension Plan

Pet Insurance

Employee Assistance Program (EAP)

Professional Development

Compensation (NJ Job Transparency Law)

The expected hourly range for this position is $31.29- $32.75 per hour, in accordance with the New Jersey Pay Transparency Law; final compensation will be commensurate with experience and qualifications.

About Us

University Hospital is one of the nation’s leading academic medical centers. As the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation.

We encourage candidates from all backgrounds to apply. If you want to grow your career in healthcare while serving a vibrant community, we’d love to meet you