Overview:
Thoroughly reviews outpatient medical records (Emergency Department-ED; ambulatory surgery, etc.) to specifically and accurately code diagnoses and procedures based on patient’s plan of care and treatment, and to also identify allowable ED/Other Outpatient charges when applicable. Verifies that records consistently contain appropriate documentation to justify coding and charge assignments.
Responsibilities:
Thoroughly reviews outpatient medical records (Emergency Department-ED; ambulatory surgery, etc.) to specifically and accurately code diagnoses and procedures based on patient’s plan of care and treatment, and to also identify allowable ED and/or Observation charges when applicable. Verifies that records consistently contain appropriate documentation to justify coding and charge assignments.
Qualifications:
The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this position.
Education/formal training/licensure/certification/experience:
- Health Information Technology degree or similar degree or work related coding experience, including college level medical terminology and Anatomy and Physiology required.
- CCS preferred
- Experience with E/M assignment or drug administration coding preferred
- Must achieve minimum score of 85% on competency sampling
Knowledge, skills and abilities required:
- Working knowledge of CPT coding, modifier guidelines, medical procedures.
- Knowledge of DNV, Joint Commission and other regulatory agency chart documentation requirements
- Ability to work independently and to function as an integral team member within the department
- Understanding of prospective payment system and coding guidelines
- Must be able to work unsupervised and be self motivated
- Computer skills including data entry speed of 45 wpm and experience in Windows environment
- Ability to perform under pressure with ongoing deadlines and production/accuracy standards
- Use of computerized encoder
- Ability to manage competing demands
- Ability to remain productively focused and non-distracted in a remote work setting.
Working Conditions
- Primary in-home office setting, independent work environment
