Coder - Outpatient

Highmark Health; Tennessee; On-site; USD 29,000 - 47,000; Full time

Job summary

Allegheny Health Network is seeking a Medical Coder to review medical records, assign ICD-10-CM/CPT codes, and support accurate billing and reimbursement.

The role requires attention to detail, coding guideline proficiency, and the ability to collaborate with clinical teams to ensure compliant documentation.

Ideal candidates bring coding experience, strong data entry skills, and familiarity with coding systems, contributing to efficient revenue cycle operations.

Qualifications

• High School/GED required.
• Completion of anatomy, physiology and medical terminology coding courses.
• 1 year hospital/physician coding experience.
• 1 year coding in mid-level facilities/clinics.
• 1 year coding major surgeries, observations and/or E/Ms.
• Medical Terminology knowledge.
• Strong data entry skills.
• Understanding of computer applications.
• Ability to work with health care team.
• Certifications: RHIT, RHIA, CCS-P, CPC, COC, CPC-A Apprentice.

Responsibilities

• Reviews and interprets medical information to determine ICD-10 CM/CPT codes for diagnoses and procedures. (65%)
• Abstracts data elements and enters coded information into the system. (15%)
• Manages unbilled coding report and cash flow. (10%)
• Keeps updated on ICD-10 CM/CPT guidelines through training and resources. (5%)
• Performs other duties as assigned. (5%)

Skills

Data entry

Team collaboration

Coding knowledge

Computer applications

Education

High School/GED

Coding courses in anatomy physiology and medical terminology

Hospital/Physician Coding experience (1 year)

Mid-level facilities/clinics coding experience (1 year)

Major surgeries/observations/E/Ms coding (1 year)

Medical Terminology

RHIT

RHIA

CCS-P

CPC

COC

CPC-A Apprentice

Associate's Degree in Health Information Management or related field

Job description

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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