Coder - Outpatient

Highmark Health; Hydaburg (AK); Presencial; USD 30 000 - 47 000; Tempo integral

Resumo da oferta

Allegheny Health Network is hiring for a medical records coder responsible for reviewing medical documents, assigning ICD-10-CM and CPT codes, and abstracting data for statistical requests. The role supports cash flow by managing unbilled coding reports and ensures compliance with HIPAA and privacy policies.

Minimum qualifications include a high school diploma, coding coursework, and 1 year of coding experience in hospital or clinic settings. Relevant RHIT/RHIA/CPC certifications are preferred.

Qualificações

• High School/GED with completed coding courses.
• Experience coding in hospital/physician settings.
• Knowledge of ICD-10 CM/CPT guidelines and updates.
• Strong data entry and computer skills.
• Ability to work with health care teams and comply with HIPAA.

Responsabilidades

• Review and interpret medical information to assign ICD-10 CM/CPT codes.
• Abstract data elements and enter into designated systems.
• Manage unbilled coding reports to support cash flow.
• Stay updated on ICD-10/CPT changes via training and clinics.
• Perform other duties as assigned.

Conhecimentos

Strong data entry

Team collaboration

Computer applications understanding

Medical terminology

Formação académica

High School/GED

Coding courses in anatomy, physiology & medical terminology

1 year hospital/physician coding experience

1 year coding in mid-level facilities

1 year coding major surgeries/observations/E/Ms

Ferramentas

RHIT

RHIA

CCS-P

CPC

COC

CPC-A

Descrição da oferta de emprego

Company : Allegheny Health Network Job Description :

GENERAL OVERVIEW:

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.

ESSENTIAL RESPONSIBILITIES

• Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%)

• Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)

• Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)

• Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)

• Performs other duties as assigned or required. (5%)

QUALIFICATIONS:

Minimum

• High School/GED

• Successful completion of coding courses in anatomy, physiology and medical terminology

• 1 year of Hospital and/or Physician Coding

• 1 year coding at mid-level facilities or clinics

• 1 year coding major surgeries, observations and/or E/Ms

• Medical Terminology

• Strong data entry skills

• An understanding of computer applications

• Ability to work with members of the health care team

• Any of the following:

  • Registered Health Information Technician (RHIT)

  • Registered Health Information Associate (RHIA)

  • Certified Coding Specialist Physician (CCS-P)

  • Certified Professional Coder (CPC)

  • Certified Outpatient Coder (COC)

  • CPC-A Certified Professional Coder - Apprentice

Preferred

• Associate's Degree in Health Information Management or related field

Disclaimer

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement

This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$21.97

Pay Range Maximum:

$34.39

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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