Inpatient Coder

Rose International; Wailuku (HI); On-site; USD 65,000 - 90,000; Full time

Job summary

Maui Health Systems seeks a detail-oriented outpatient coder to assign accurate ICD-10-CM and CPT/HCPCS codes for variety of ambulatory services. You will work with physicians to obtain clarifications and ensure compliance with CMS guidelines in a fast-paced clinical setting.

Requirements include a high school diploma or GED (Associates preferred) and at least one year of outpatient coding experience, with EPIC, Excel, Word, Teams and PowerPoint proficiency.

Qualifications

• High school diploma or GED required; associates degree preferred.
• Minimum one year of certified coding experience in outpatient services.
• Experience with ICD-10-CM, HCPCS/CPT; strong medical terminology background.
• Proficiency with EPIC, Excel, Word, Teams and PowerPoint.

Responsibilities

• Assign accurate diagnosis and procedure codes for outpatient records.
• Code for Observation, Hospital Ambulatory Surgery, and complex outpatient visits.
• Coordinate with physicians to obtain clarifications as needed.
• Ensure compliance with CMS/NCHS guidelines and organizational policies.

Skills

Attention to detail

Communication with physicians

Outpatient coding

Ambulatory Payment Classification (APC

Education

High school diploma or GED

Associates degree preferred

Post high school coursework in medical records administration, anatomy, physiology and medical terminology

Tools

EPIC

Excel

Word

Teams

PowerPoint

Job description

Job Description

Job TitleJob Description 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