Coder/Abstractor-Outpatient Level II

Dormont Manufacturing Co; United States; On-site; USD 38,036 - 57,069; Full time

Job summary

White Plains Hospital Medical Center is hiring an Outpatient Coder/Abstractor Level II to code and abstract medical records for outpatient services, including same-day surgery, ED, clinic, and infusion center visits.

Responsibilities include accurate coding with ICD-10-CM, CPT-4, HCPCS; querying physicians for documentation updates; and maintaining productivity and quality standards within the HIM department.

Qualifications

• High School diploma or GED required; Associate degree preferred.
• 1-3 years minimum; 2 years of coding experience in a Health Information Management setting preferred.
• Knowledge of ICD-10-CM, HCPCS and CPT-4 coding required.
• Knowledge of medication terminology, anatomy and physiology helpful.
• CCS and/or RHIT certification preferred.
• Proficiency with Microsoft Office and HIM software tools.

Responsibilities

• Assign codes accurately to meet ICD-10-CM, CPT-4, HCPCS guidelines.
• Analyze medical records to determine correct diagnoses and procedures.
• Review LCD/NCD alerts to ensure accurate documentation.
• Query physicians for clarification and documentation improvement.
• Abstract data into the health information system with accuracy.
• Meet coding quality and productivity standards; stay up to date with coding changes.
• Use 3M 360 and Optum Lynx HIM applications; attend staff meetings as required.

Education

High School Diploma or GED

Associate Degree

Tools

3M 360 coding applications

Optum Lynx

Job description

City/State: White Plains, New York

Department: WPH Health Info Mgmt HIM_5

Work Shift: Day

Work Days: MON-FRI

Scheduled Hours: 7 AM-3 PM

Hours Per Pay Period: 75

Pay Rate/Range: $27.6106-$41.4267

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

Job Summary

The Outpatient Coder/Abstractor Level II is responsible for coding and abstracting medical records in accordance with established guidelines for outpatient hospital services. This includes, but is not limited to, same-day surgery, observation, emergency department services, clinic services, infusion center services, and diagnostic testing.

Essential Functions

• Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
• Accurately assign codes to meet established coding guidelines, including ICD-10 CM, CPT-4, HCPCS, and Modifiers.
• Analyze medical records to identify all appropriate coding and sequencing of diagnoses and procedures.
• The review of local coverage determinations (LCD)/National Coverage Determination (NCD) alerts is conducted to ensure that diagnoses are accurately captured and documented.
• Seeks clarification on information needed to assign accurate and specific codes and alerts physician when additional supporting documentation is needed.
• Limited charge correction and charge validation.
• Effective communication with other departments is essential.
• Proficiency in working with spreadsheets is required.
• The individual must demonstrate the ability to work independently.
• Query physicians and providers for clarification and documentation improvement when needed.
• Abstract required data into the health information system, ensuring accuracy in all fields.
• Meets established quality standards for coding and abstracting medical records.
• Meets established productivity standards and completes work within required time frames.
• Stay up to date with industry coding changes, HIM best practices, and payer-specific guidelines.
• Demonstrates the ability to use Microsoft applications, and HIM software applications including but not limited to 3M 360 coding applications, Optum Lynx.
• Attend staff meetings as required to update knowledge related to current department/hospital issues/status.
• Attends educational meetings as requested/required to update knowledge related to coding/compliance.
• Completes annual department/hospital competency requirements.
• Performs all other related duties as assigned.

Qualifications

• High School Required or GED Required
• Associate Degree Preferred
• 1-3 years Minimum 2 years of coding experience in a Health Information Management Department Preferred
• Knowledge of ICD-10-CM, HCPCS and CPT-4 coding required
• Knowledge of medication terminology, anatomy and physiology required
• Certified Coding Specialist (CCS) and/or RHIT preferred

White Plains Hospital Medical Center is an equal employment opportunity employer. White Plains Hospital Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.