Coder - Outpatient Surgical/Anesthesia

Highmark Health

Pennsylvania

On-site

USD 30,000 - 47,000

Full time

9 days ago

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Job summary

Allegheny Health Network is seeking a qualified coder to perform thorough medical record review and assign ICD-10-CM/CPT codes. You will abstract data for statistical requests and ensure accurate entry into the hospital's information systems.

Ideal candidates have hospital coding experience, strong data entry and terminology knowledge, and the ability to work with a health-care team. A range of certifications is preferred, and the role supports compliance and cash flow objectives.

Qualifications

  • Minimum: High School/GED, coding courses completed in anatomy, physiology and medical terminology.
  • 1 year hospital/physician coding experience; 1 year at mid-level facilities or clinics; 1 year coding major surgeries/E/Ms.
  • RHIT, RHIA, CCS-P, CPC, COC, or CPC-A credentials are preferred.
  • Strong data entry, computer application skills, and teamwork with health-care staff.

Responsibilities

  • Reviews and interprets medical information to assign ICD-10 CM/CPT codes.
  • Abstracts data elements and enters coded information into designated systems.
  • Manages unbilled coding reports to aid cash flow.
  • Keeps up to date with ICD-10-CM/CPT guidelines through training and clinics.
  • Performs other duties as assigned.

Skills

Strong data entry skills
Medical Terminology
An understanding of computer apps
Ability to work with health care team

Education

High School/GED
Anatomy, physiology and medical terminology coding courses
1 year Hospital and/or Physician Coding
1 year coding at mid-level facilities or clinics
1 year coding major surgeries, observations and/or E/Ms
RHIT
RHIA
CCS-P
CPC
COC
CPC-A Certified Professional Coder - 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.

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.

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.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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.

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