Job Description
REQUIREMENTS:
License/Certification: Must possess one of the following AAPC/AHIMA certifications: Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Experience: Minimum of 3 years’ experience as an Outpatient Coder in a clinic, acute care, or academic teaching facility required.
Proficiencies: Extensive knowledge of medical terminology, anatomy and physiology, pathophysiology, pathology and laboratory medicine, coding guidelines for ICD-10, CPT, Modifiers, etc.
Knowledge of current and developing issues, trends in medical coding procedures requirements, and be able to research complex issues as needed.
RESPONSIBILITIES:
Ensures full and efficient collection and processing of all information necessary for prompt and compliant billing and optimized reimbursement related to clinic and outpatient services.
Reviews medical records timely to identify diagnoses and CPT procedures relative to the patient’s encounter.
Abstracts appropriate information from the medical record based on the guidelines provided by the hospital and after a thorough review of the medical record.
Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the hospital.
Daily reconciliation of coding to include prior day visits and claims processed.
Full-time
Fully remote