Observation Coder
Description:
Observation Coder - Facility
Full time/Remote
Purpose
The primary responsibility of the Facility Observation Coder is to code ICD-10-CM, HCPCS, CPT, Modifiers & APC assignment and identify documentation improvement based on medical record documentation, as needed for various client projects.
Accountabilities
Meet client deadlines
Meet and exceed minimum productivity standards
Pass quality reviews
Job Description
Abstract all ICD-10-CM, CPT, Modifiers & APC assignment from the medical record documentation.
Enter data into coding software and/or coding detail report.
Provider recommendations to incorporate into the Executive Summary.
Must be able to meet the minimum productivity standards.
Must meet or exceed 95% accuracy rate on quality reviews.
Ensure accurate and timely submission of completed report to clients.
Enter time accurately and timely into our timekeeping system.
Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities
Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
Other duties as assigned
Experience and Education
Must have one of the following current credentials, CPC, CCS or and/or CCS-P
High level coding expertise in IPPS and/or OPPS.
A minimum of three to five yearsâ experience required abstracting ICD-10-CM/PCS, CPT, Modifiers & APC assignment
Requires advanced technical knowledge in specific surgical and medical specialties as assigned including Observations (including observations and observation for OB).
Extensive knowledge of medical terminology and ability to research coding related questions.
Must have experience with data entry of codes into a database and/or software tool.
Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Must have 3M experience.
Excellent oral and written communication skills.