Coder - Certified (Outpatient)

Description

PURPOSE STATEMENT

The Certified Coder will play a key role in converting diagnoses and treatment procedures intoICD-10, CPT and HCPCS codes. The Coder will review and accurately code office and hospital procedures for reimbursement.

ESSENTIAL FUNCTIONS

Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plans of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications, and other procedures. Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Maintain and respect patient and employee privacy and confidentiality. Maintain coding credentials. Maintain coding education to keep current on coding guidelines and changes. Maintain regular and predictable attendance. Support the Medical Center's Mission/Vision/Philosophy positively. Handles special projects as requested. Requirements

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS

High school diploma or equivalent. AHIMA or AAPC maintained credentials. Knowledge of medical terminology and anatomy/physiology. Professionalism, confidentiality, and organization. Detail-oriented and able to self-regulate varied tasks. Must be self-motivated and able to work within the established policies, procedures and practices prescribed by the hospital/clinic.

PHYSICAL/MENTAL REQUIREMENTS

Must be able to sit and stand intermittently 8 to 10 hours a day. Must be able to use standard office equipment. Continuously works under pressure of nearly 100% accuracy while meeting deadlines. Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing. Frequently stands, walks, sits, and utilizes eye/hand coordination and color definition. Occasionally reaches above shoulder, regularly required to lift and/or carry up to 5 lbs. Occasionally walks on uneven surfaces.