HIM Hospital Coder-Outpatient

Rose International; Wailuku (HI); Vor Ort; USD 60.000 - 80.000; Vollzeit

Zusammenfassung

Rose International is seeking a skilled Medical Coder for Maui Health System. You will assign accurate ICD-10-CM and HCPCS/CPT codes for observations, ambulatory and interventional procedures across multiple departments.

Under supervision, you will ensure proper APC assignment, communicate with physicians for clarification, and maintain compliance with CMS/NCHS guidelines and internal coding directives.

Qualifikationen

• Assign accurate ICD-10-CM and CPT codes for diagnosis and procedures.
• Code for Observation, OP surgeries, Interventional Radiology and other OP records.
• Communicate with physicians to obtain clarification on diagnoses and procedures.
• Follow CMS/NCHS guidelines and internal coding directives.

Aufgaben

• Upholds Maui Health Systems Policies and procedures and applicable laws.
• Review patient records to assign codes for diagnoses, procedures, and services.
• Sequence codes appropriately for APC assignment and act as coding consultant.
• Identify discrepancies and ensure quality of care.

Kenntnisse

Coding experience

Interventional procedures

Physician communication

Ausbildung

High school diploma or GED

Associate degree (preferred)

Tools

EPIC

Excel

Word

Teams

PowerPoint

Jobbeschreibung

Job Title

Education

Required Level of Education: High school diploma or General Education Diploma (GED) required. Post high school coursework in medical records administration, anatomy, physiology and medical terminology. Preferred Level of Education: Associates Degree. Minimum one (1) year of Certified Coding experience in Outpatient services. Procedures in: Interventional Radiology, Vascular Access, Neurovascular Procedures, Cardiology, GI/Endoscopy, Imaging, Urology/ED procedures, Chemotherapy. Specific Systems Knowledge Required: NO. Specific Systems Knowledge Preferred: EPIC, Excel, Word, Teams Power Point. Top Three things Worker will be doing: Coding service areas like ED, OP surgeries, Chemotherapy. Top Three Skillsets needed: All the procedures, Injection/infusion. Anything else important we need to know to fill your role?

Job Description

Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD- 10CM (may include PCS), and HCPCS/CPT. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Client organizational/institutional coding directives. Ability to communicate with physicians in order to obtain clarification for diagnoses/procedures. Ability to understand the clinical content of the health record and abstract the data in the patient health information record data as well as perform other duties as assigned.

Essential Responsibilities

Upholds and maintains Maui Health Systems Policies and Procedures, Principles of Responsibilities and all applicable state, federal and local laws. Reviews patient health information record to: identify and assign appropriate codes for diagnoses, procedures, and other services rendered. Appropriately assign and sequence codes for diagnoses, procedures and other services as needed for proper Ambulatory Payment Classification (APC) assignment, utilizing the applicable coding conventions. Serves as a consultant to care providers. Identifies discrepancies, potential quality of care