Coding Tech-Inpatient | HIM | Full Time | HYBRID (ON-SITE/REMOTE)

Gritman Medical Center; Moscow (ID); On-site; USD 52,000 - 72,000; Full time

Job summary

Gritman Medical Center is seeking a Medical Coding Tech to assign E/M codes, ICD diagnoses, CPT/HCPCS and modifiers for outpatient encounters. The role includes training staff on coding issues and supporting coding compliance.

The ideal candidate has CPC, COC and CSS-P credentials with at least two years of outpatient coding experience, and is proficient with EPIC and 3M abstraction systems to ensure accurate data and optimal reimbursement.

Qualifications

• 2+ years outpatient coding experience within the last five years.
• Experience with E/M, CPT and HCPCS coding workflows.
• Familiarity with ICD-10-CM and DRGs in outpatient settings.
• Knowledge of CPT/HCPCS updates and coding guidelines.

Responsibilities

• Codes patient data using EPIC to ensure optimal hospital reimbursement.
• Meets productivity standards.
• Abstracts data from medical records using the 3M abstracting system.
• Verifies accuracy of patient identifiers to ensure proper chart processing.
• Reviews charts for deficiencies and completes required forms.
• Keeps up with CPT/HCPCS updates, NCCI edits and ICD-10-CM nomenclature.
• Complies with GMC coding guidelines and Billing Compliance standards.
• Participates in coding compliance activities and education.

Skills

ICD-10-CM knowledge

CPT/HCPCS knowledge

E/M coding experience

Abstraction skills

Analytical skills

Communication skills

Microsoft Office

Team collaboration

Education

Certified Professional Coder (CPC)

Certified Outpatient Coder (COC)

Certified Coder Specialist Physician (CSS-P)

Tools

EPIC systems

3M abstracting system

Microsoft Office tools

Job description

Requisition Number: [CODIN003786]

The Medical Coding Tech is responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates Staff of coding issues and plays a significant role in coding compliance activities.

Job Duties and Responsibilities

• Codes patient data utilizing EPIC systems to ensure optimal reimbursement to the hospital.
• Meets productivity standards.
• Abstracts data from the patients medical record using the 3M computerized abstracting system to compile accurate and timely statistical data.
• Verifies accuracy of information by identifying such things as patients name, DOB, hospital billing account number, medical record number and location in hospital to ensure proper chart is processed.
• Reviews medical charts for deficiencies and completes appropriate forms as directed by Coding Manager and/or Department Manager.
• Performs other related duties as needed to support the achievement of department goals and objectives.
• Reads the coding updates as received on a monthly basis.
• Stays apprised of changes in the CPT/HCPCS, modifiers, NCCI edits, and ICD-10-CM coding nomenclatures.
• Complies with the Coding guidelines and Billing Compliance standards of GMC.
• Follow five fundamentals of patient communication: Acknowledge, Introduce, Duration, Explanation, Thank You (AIDET).
• Practices and promotes the culture of safety.
• Supports, promotes, and adheres to the Standards of Behavior.
• Adheres to the National Patient Safety Goals.

Required Licenses and/or Certifications

• Certified Professional Coder (CPC)
• Certified Outpatient Coder (COC)
• Certified Coder Specialist Physician (CSS-P) with appropriate level of experience.

Required Work experience

A minimum of two (2) years experience in the outpatient setting (Physicians office or ambulatory surgery centers) within the last five years, including assignment of E & M, CPT, and HCPCS codes.

Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes.

Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E & M codes do not count as qualifying experience.

Additionally, coding auditing and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience.

Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, account receivable) is not a qualifying factor.

Required knowledge, skills, and abilities

• Working knowledge of coding/abstraction, medical terminology, ICD-10-CM, CPT, APCs and DRGs
• Knowledge of human anatomy, physiology is required
• Strong computer skills (Microsoft Office products)
• Effective interpersonal communication skills to acquire needed information and maintain cooperative work relationships with physicians
• Excellent communication skills
• Exceptional organizational/Time management skills, verbal and written

Communication Skills Required

• Ability to organize work priorities and meet specific objectives under time constraints
• Ability to manage multiple tasks simultaneously
• Good problem-solving skills and attention to detailAbility to be a team player in a team-oriented environment
• Proficient at 10 key
• Ability to use fax, photocopier, PC, microfiche reader/printer, scanner

Preferred Qualifications

• Prefer experience in a hospital and clinic setting

Functional Demands

• Population(s) served: Neonatal, pediatric, adolescent, adult, and geriatric.
• Physical demands:
  • Lifting: Occasional: maximum of 30 lbs. from floor to chest height, 1 x year.
  • Frequent: none
  • Items lifted- box of records.
  • Transfers: None
  • Push/Pull: Minimal force required to pushcart of records, 1 x day for 300 yards.
  • Carry: Maximum of 3 lbs. for 100 yards. Medical records and papers.
  • Computer: 95% of day, 20% mouse, 80% data entry.
  • Fine Motor: High degree for data entry, manipulations papers