Coder - Hospital Outpatient Services - Revenue Cycle Mid Service

University of Michigan Health-West; Wyoming (MI); On-site; USD 60,000 - 80,000; Full time

Job summary

University of Michigan Health-West in Michigan seeks a Coder for Hospital Services to accurately code outpatient conditions and procedures by translating physician and nursing documentation into ICD-10-CM/ICD-10-PCS and CPT codes.

The role emphasizes maintaining high coding accuracy, reviewing clinical documentation, and ensuring timely data entry for billing, reporting, and research, while upholding patient privacy and continuing education.

Qualifications

• High School Diploma or GED required.
• RHIT, RHIA, CCS, CCS-P, CPC, COC or other HIM coding certificate.
• AHIMA/AAPC membership in good standing.
• Minimum one year of recent facility coding experience.
• Coding software and Microsoft Office proficiency; experience with computer assisted encoder.
• Effective communication and listening skills.
• Ability to contribute to team efforts.
• Typing 40 WPM or better.

Responsibilities

• Code hospital-based diagnoses, treatments, and procedures from documentation.
• Maintain 95% coding accuracy and productivity within standards.
• Ensure documentation supports hospital services and initiate coding queries as appropriate.
• Enter and validate department charges within required timeframes.
• Maintain continuing education credits for compliance and credential requirements.
• Protect patient privacy and confidentiality in all work phases.
• Participate in departmental quality standards.
• Perform other duties as assigned and pursue ongoing learning.

Skills

HS diploma

Coding certifications

AHIMA/AAPC membership

Facility coding experience

Coding software proficiency

Microsoft Office

Typing 40 WPM

Communication skills

Team player

Education

High School Diploma/GED

Tools

Computer assisted encoder

Job description

Under the direction of the Coding Supervisor and Manager, the Coder for Hospital Services is responsible for accurately coding outpatient conditions and procedures. The Coder reviews clinical documentation and diagnostic results in order to extract data for billing, internal and external reporting, and research, ensuring all codes are appropriately applied per the ICD-10-CM Official Guidelines for Coding and Reporting. When applicable, the Coder is responsible for accurately and completely capturing charges for hospital services provided by reviewing clinical documentation. This data is utilized for revenue processing, internal and external reporting, research and regulatory compliance as documented in the CPT guidelines.

Knowledge, Skills and Abilities:

• High School Diploma/GED
• RHIT, RHIA, CCS, CCS-P, CPC, COC or other professional HIM coding certificate.
• Member of AHIMA/AAPC in good standing (i.e., has paid dues and completed required continuing education.
• Minimum one (1) year recent facility coding experience required
• Coding software and basic computer software experience including Microsoft Office. Previous experience with computer assisted encoder.
• Effective communication and listening skills.
• Ability to contribute to team efforts.
• Typing- 40 WPM or better

Essential Functions and Responsibilities:

• Code all hospital-based diagnoses, treatments, and procedures by translating physician and nursing documentation according to the appropriate classification system for the category of patient encounter.
• Maintain 95% coding accuracy. Maintain coding productivity within standards as established by record type.
• Ensure supporting documentation is provided for all hospital services. Initiate coding query process as appropriate.
• Enter and/or validate hospital department charges within the required timeframe to ensure accurate and timely data entry of the service codes, as appropriate.
• Maintain continuing education credits for corporate compliance regulations and credential requirements.
• Foster respect for patient privacy by maintaining confidentiality in all phases of the work.
• Participate in departmental quality standards.
• Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.