Outpatient Senior Medical Coder

Scope of Position

Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System.

ICD-10-CM / PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process.

Position Summary

The position is responsible for coding medical records and other documents at the conclusion of the patients visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and / or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians.

Codes are selected in the Computer Assisted Coding / Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement.

This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.

MINIMUM REQUIRED QUALIFICATIONS

Associates Degree in Health Information Management. Credentialed as a Registered Health Information Technician, Registered Health Information Administrator, Certified Coding Specialist by the American Health Information Management Association, or Certified Outpatient Coder by AAPC if managing hospital coding; ROCC if only coding Radiation Oncology; RHIA, CCS, COC or CPC by AAPC if managing professional coding. 2 years of relevant experience required. 4-6 years of relevant experience preferred.