Coder - Outpatient

Allegheny Health Network; United States; On-site; USD 30,000 - 47,000; Full time

Job summary

Allegheny Health Network is seeking a qualified Medical Records coder to review and abstract medical records, determine ICD-10-CM/CPT codes, and ensure accurate statistical reporting. The role emphasizes adherence to coding guidelines and improving cash flow through accurate documentation.

The position requires at least a high school education and coding coursework, with 1 year of hospital or physician coding experience, and relevant RHIT/RHIA/ CCS-P/CPC/CPC-A certifications.

Qualifications

• 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
• RHIT, RHIA, CCS-P, CPC, COC, CPC-A certifications

Responsibilities

• Reviews and interprets medical information to determine ICD-10-CM/CPT codes.
• Abstracts data elements for statistical requests and enters data into systems.
• Manages unbilled coding report and supports cash flow.
• Keeps updated with ICD-10-CM/CPT guidelines and applies changes.
• Performs other duties as assigned or required.

Skills

ICD-10-CM/CPT coding

Medical terminology

Data entry

Attention to detail

Team collaboration

Communication skills

Analytical thinking

Documentation

Problem solving

Healthcare terminology

Education

Associate's Degree in Health Information Management

RHIT Certification

RHIA Certification

CCS-P Certification

CPC Certification

COC Certification

CPC-A Certification

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.

• 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%)

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.

• 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%)

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

• 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, and local law. California Consumer Privacy Act Employees, Contractors, and Applicants Notice