Coder II, Corporate Coding, Outpatient Ancillary Services, Full Time, First Shift

UC Health; Cincinnati (OH); On-site; USD 58,000 - 79,000; Full time

Job summary

UC Health is seeking a Coder II for Corporate Coding in Outpatient Ancillary Services. The role codes inpatient, outpatient, and ambulatory records, ensuring documentation supports ICD-10 and CPT codes and DRG assignments.

Ideal candidates have a high school diploma or GED and at least 1 year of acute care coding experience, with formal coding education. Certification credentials (RHIT/RHIA/CCS) preferred.

Qualifications

• High school diploma or GED.
• Formal education in ICD-9-CM/CPT coding, medical terminology, anatomy, pathophysiology, and disease processes.
• At least 1 year of acute care coding experience.

Responsibilities

• Reviews inpatients, ambulatory, observation, and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG’s.
• Interprets health record content to ensure diagnoses and procedures coded are supported by physician documentation.
• Maintains a coding accuracy rating of at least 95% on records assigned.
• Queries physicians when necessary to ensure documentation supports the codes assigned.
• Coding productivity: Performs coding on medical records efficiently to meet productivity standards and department goals.
• Completes productivity data correctly and timely.
• Billing edits, coding corrections, DRG changes: reviews, researches, and resolves claim edits for billing purposes.
• Reviews records following payer/audit/manager feedback and makes necessary corrections to coding, disposition, and/or DRG assignment.
• Accountability: reviews educational materials and applies information when coding; seeks clarification when needed.
• Maintains organized resources for reference; reviews emails timely and responds when indicated.
• Manages remote work setting and comes on site when system/connectivity issues arise.

Skills

ICD-9-CM/CPT coding

Medical terminology

Anatomy

Pathophysiology

Documentation review

Education

High school diploma or GED

Formal coding education (ICD-9-CM/CPT), medical terminology, anatomy, pathophysiology

Job description

Coder II, Corporate Coding, Outpatient Ancillary Services, Full Time, First Shift

Job Description

Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set.

Responsibilities

Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG’s.

Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation.

Maintains a coding accuracy rating of at least 95% on records assigned.

Queries physicians when necessary to ensure documentation supports the codes assigned.

Coding productivity:

Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals.

Completes productivity data correctly and timely.

Billing edits, coding corrections, DRG changes:

Reviews, researches, and resolves claim edits for billing purposes.

Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated.

Accountability:

Reviews educational materials thoroughly and takes responsibility for applying this information when coding.

Seeks to clarify information and educational material when necessary.

Maintains information and resources in an organized manner so that information can be referenced easily.

Reviews emails timely and thoroughly and responds when indicated.

Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.

Qualifications

• High school diploma or GED.
• Formal education in ICD-9-CM/CPT coding, medical terminology, anatomy, pathophysiology, and disease processes.
• At least 1 year of acute care coding experience.

Preferred Qualifications:

• Associate's degree in a healthcare-related field.
• Bachelor's degree in a healthcare-related field.
• Certification in one of the following:
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Administrator (RHIA)
  • Certified Coding Specialist (CCS)

Certification Requirement:

• Candidates must hold one of the following credentials: RHIT, RHIA, or CCS.

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.

UC Health is an EEO employer.

Job Info

• Locations 3200 Burnet Ave, Cincinnati, OH, 45229, US
• Employer UC Health, LLC