CODING SPECIALIST - OUTPATIENT (Medical Group)CalvertHealth • Prince Frederick, MD, US
CODING SPECIALIST - OUTPATIENT (Medical Group)
CalvertHealth • Prince Frederick, MD, US
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job_description.job_card.job_descriptionJob Summary Education Registration / Certification / Licensure AAPC Certifications (CPC, CPC-H) Experience Possess a strong grasp of : Ambulatory Payment Classifications (APC's), all Patient Refined Diagnosis Related Groups (APR-DRGs) - Maryland, and Potentially Preventable Complications (PPCs) / Maryland Hospital Acquired Conditions (MHACs) experience, required. Familiarity with Meditech and 3M Coding and Reimbursement System, preferred. 360 Encompass experience, a plus. Other Requirements Comprehensive knowledge of Pathophysiology, disease processes, Pharmacology and Medical Terminology. Ability to effectively communicate with clinical and non-clinical staff, both verbally and in writing. Knowledge of HIM workflow. Ability to complete and submit physician queries as appropriate. Effectively communicates with clinical and non-clinical staff, both verbally and in writing, by implementing organization-wide communication techniques as a daily practice. Demonstrated proficiency of computer skills necessary to effectively complete position requirements. Ability to work independently and prioritize tasks producing quality work that is timely. FLSA Status Populations Served / Patient Care Responsibilities Principle Duties and Responsibilities Accurately assigns codes utilizing ICD-10-CM and CPT codes for inpatient and outpatient records as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Assigns principal and secondary diagnosis and procedure codes using the computer system and encoder. Works with the Clinical Documentation Analyst to assist in the development and improvement in the Clinical Documentation Improvement program (inpatient). Contacts physicians when recognizing when further documentation clarification is needed for accurate coding and appropriately queries the physician. Abstracts required data elements as instructed. Establishes and maintains an outpatient coding accuracy rate of 95% or greater. Establishes and maintains an outpatient coding production rate of 90% or greater. Ensures HIPAA compliance at all times. Abides by the standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA). Attends coding specific hospital meetings with the Director of HIM and / or the Coding Manager.
Job Description Details
- Reports to
HIM Coding Manager
Codes and abstracts outpatient medical records in accordance with established coding conventions and guidelines.
Associate's or Bachelor's degree in Health Information Management (HIM) or Coding, preferred. Position requires formal working knowledge equivalent to a two or four year degree in HIM or Coding.
AHIMA Certifications (RHIA, RHIT, CCS, CCS-P)
1 year of medical coding experience in a clinical, hospital, or physician office setting
Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and / or any other department requirements.
Non-Exempt
All age populations
Technical Competencies
Reviews clinical documentation and diagnostic results to accurately extract data and assign appropriate ICD-10-CM / CPT codes for billing internal and external reporting, research and regulatory compliance.
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Medical Coding Specialist • Prince Frederick, MD, US
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