Coder Specialist - Hospital Outpatient Surgery Month Series

DaMar Staffing; United States; On-site; USD 29,000 - 43,000; Full time

Job summary

Franciscan Health is seeking a Hospital Outpatient Coder V to review medical records and assign ICD/CPT codes for hospital surgery, observation and monthly series services.

Role requires 2+ years of coding experience, AHIMA credentials (CCS/RHIT/RHIA) or readiness to obtain within 180 days, and strong knowledge of coding guidelines and documentation quality. Travel is rarely required, and ongoing education is encouraged.

Qualifications

• High school diploma or GED is required.
• Associate degree in health information management preferred.
• Bachelor's degree in health information management preferred.
• 2 years coding experience required.
• Surgery coding experience preferred.
• Certification CCS/RHIT/RHIA required or achievable within 180 days.

Responsibilities

• Review and code patient records in hospital outpatient settings (surgery-focused).
• Apply ICD and CPT codes per Official Coding Guidelines with accuracy.
• Evaluate diagnosis and procedure codes and modifiers for coding edits.
• Validate documentation to reflect clinical picture, treatment and diagnoses.
• Identify missing or inconsistent documentation and obtain it promptly.
• Maintain coding accuracy and productivity standards.

Skills

2 years Coding

Surgery Coding

AHIMA coding knowledge

Education

High School Diploma/GED

Associate's Degree in Health Information Management

Bachelor's Degree in Health Information Management

CCS (AHIMA) - Required

RHIT - within 180 days

RHIA - within 180 days

Job description

Hospital Outpatient Coder V

The Hospital Outpatient Coder V reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on hospital surgery, observation and monthly series services. This position abstracts key data elements necessary for billing and data analysis.

With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

What You Can Expect

• Accurately reviews and codes patient records in the following clinical areas: hospitalist rounds and office visits (with repetitive or non-invasive procedures).
• Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT repetitive or non-invasive procedure codes, modifiers, hierarchical condition categories, complications, and comorbidities to meet coding guidelines.
• Evaluates appropriateness of diagnosis and procedure codes and modifiers utilized in response to Outpatient Code Editor and National Correct Coding Initiative edits.
• Reviews clinical documentation to validate accurate representation of the patient's clinical picture, treatment, and diagnoses.
• Identifies when documentation relevant to the coding process is missing, lacks specificity or is inconsistent and take steps to obtain the documentation.
• Identifies and enters data elements for abstracting.
• Meets defined coding accuracy standards.
• Meets defined coding productivity standards.
• Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability.
• Understands how diagnosis and procedure codes, and reimbursement methodologies are used to determine reimbursement, public reporting of outcomes, quality of patient care, financial modeling, strategic planning, and marketing.
• Remains current with coding and industry changes through participation in educational opportunities.
• Demonstrates a thorough knowledge of professional coding guidelines, medical terminology, anatomy/physiology, and payer specific coding guidelines.
• Notifies coding leadership of trends and topics for education and feedback to physicians and departments.
• Assists with identification and implementation of process improvements, according to industry best practice standards to make the best use of resources, decrease costs and improve coding services across the specialized service lines.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines.

Qualifications

• High School Diploma/GED - Required
• Associate's Degree in Health Information Management - Preferred
• Bachelor's Degree in Health Information Management - Preferred
• 2 years Coding - Required
• Surgery Coding experience - Preferred
• CCS (Certified Coding Specialist) - American Health Information Management Association (AHIMA) - Required -or-
• RHIT (Registered Health Information Technician) - American Health Information Management Association (AHIMA) within 180days - Required -or-
• RHIA (Registered Health Information Administrator) - American Health Information Management Association (AHIMA) within 180 days - Required

Travel is required: Never or Rarely

Job Range: Coder V Spcl Hosp Outpatient Surgery Month Series $21.02-$31.27

Equal Opportunity Employer

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity.