Certified Outpatient Coding Specialist (Per Diem)

St. Luke's University Health Network; Allentown (Lehigh County); On-site; USD 52,000 - 76,000; Full time

Job summary

St. Luke’s University Health Network is seeking a Certified Outpatient Coder to code and abstract patient information using ICD-10-CM/PCS and CPT-4 conventions. The role collaborates with Health Information and Finance to ensure proper information flow.

A minimum of 1 year inpatient/outpatient coding experience is required, with EPIC and 3M encoder experience preferred. Rhia/ RHIT/ CCS or CPC credentials are desired, and ongoing credentialing within three years may be requested to remain in the

Qualifications

• Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care or teaching setting.
• Knowledge of anatomy, physiology, pathology and medical terminology.
• Experience with EPIC health information system and 3M encoding preferred.

Responsibilities

• Codes and abstracts diagnosis and procedure information per AHA ICD-10-CM/PCS, AMA CPT-4, UHDDS and CMS guidelines.
• Uses 3M Encoder to verify and assign ICD-10-CM/PCS and CPT-4 codes and DRG assignments.
• Maintains 95% data quality coding accuracy per quarterly reviews.
• Maintains productivity and turnaround times per department plan.
• Keeps up-to-date with coding conventions and DMG principles.
• Participates in department meetings and training sessions.

Skills

Medical coding

Anatomy & physiology

Medical terminology

ICD-10-CM coding

Education

RHIA

RHIT

CCS

CPC

Tools

EPIC

3M Encoder

Job description

St. Luke’s is proud of the skills, experience and compassion of its employees. The employees of St. Luke’s are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient’s ability to pay for health care.

The Certified Outpatient Coding Specialist codes and abstracts all pertinent patient medical information according to AHA ICD-10-CM/PCS and AMA CPT-4 Coding conventions, UHDDS guidelines and CMS directives. Completes data entry of abstracted inpatient/outpatient diagnosis and/or procedure codes to Network’s health information system. Collaborates with the Health Information/Medical Records, Admissions and Finance departments to ensure appropriate flow of information.

JOB DUTIES AND RESPONSIBILITIES:

• Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations
• Utilizes the 3M Encoder to verify and assign AHA ICD-10-CM/PCS and AMA CPT-4 codes, and MS-DRG/APR-DRG assignment
• Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews
• Maintains daily productivity and turnaround times as outlined in Department’s Performance Improvement plan
• Responsible for remaining up-to-date with knowledge of AHA ICD-9-CM/ICD-10-CM/PCS and AMA CPT-4 coding conventions, MS-DRG and APR-DRG principles and guidelines
• Maintains a working knowledge of prospective payment systems as it relates directly to coding process
• Participation in department and sectional meetings, education sessional sessions and workshops as scheduled
• Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists

PHYSICAL AND SENSORY DEMANDS:

Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Extended periods of vision use for reviewing computerized patient records, abstracting of patient information, approximately 7 hours per day, 3 hours at a time. Hearing as it relates to normal conversation.

EDUCATION:

RHIA, RHIT CCS, and/or CPC from an accredited Health Information Technology or Management program. Will consider candidate with greater than 3 years experience in the coding field without coding credentials. If candidate is RHIA, RHIT, CCS and/or CPC -eligible or possess no credentials, then candidate will be expected to obtain their AHIMA/AAPC credential within three years of hire date to retain position with St. Luke’s University Health Network.

TRAINING AND EXPERIENCE:

Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting. Knowledge of anatomy and physiology, pathophysiology, and medical terminology required. Previous experience with EPIC health information computerized patient record and 3M encoding system preferred.

WORK SCHEDULE:

Day shift but may require other hours as necessary. Weekend rotations.

St. Luke’s University Health Network is an Equal Opportunity Employer.