CODING SPECIALIST-OUTPATIENT

Summary

• POSITION INFORMATION
  • Position summary:
    • o Responsible for coding outpatient records, including Emergency Department, Outpatient Surgery (ASC/EXRC), Observation and ROP (outpatient diagnostic) cases and communicating to physicians, clinicians and other hospital staff regarding clinical documentation requirements to support accurate code assignments. Enters codes and charges into multiple Hospital Systems, including Cerner, Parallon and Optum. Initiates direct follow up with physicians for documentation in the medical record to clarify diagnoses/procedures. Knowledgeable of coding principles, hospital policies and regulatory changes related to coding. Must be proficient in the coding systems of ICD-10, CPT and HCPCS. These codes are used to bill the patient for services and to ensure optimum reimbursement for services rendered.
• MINIMUM QUALIFICATIONS
  • Education:
    • Registered Health Information Administrator, Registered Health Information Technician or a Certified Coding Specialist with at least an Associate Degree. Extensive knowledge of ICD-10, HCPCS and CPT and modifier usage, as required. Extensive knowledge of medical terminology, anatomy and physiology required.
  • 
    Required length and type of experience:
    • A minimum of one year experience in hospital outpatient coding required or CPC, CPC-H certified.
    • Excellent computer skills and experience with computerized coding software preferred.
  • 
    Required licensure, certification or registry:
    • Registered Health Information Administrator or Registered Health Information Technician and Certified Professional Coder-Hospital CPC-H (or must receive these credentials within 1 year of date of hire ).
    • Must maintain certification/registration status by completing continuing education units.