Outpatient Coder

University of Maryland; Baltimore (MD); On-site; Full time

Job summary

A leading university health system is seeking a coding specialist to ensure appropriate coding and compliance for hospital emergency department and ancillary visit records. The role requires strong analytical and organizational skills, as well as familiarity with ICD-10 and CPT codes, to support accurate billing and research. Candidates need at least a high school diploma, coding training, and relevant experience in healthcare settings. Certifications will enhance application prospects.

Qualifications

• 6 months - 1 year outpatient coding experience in a healthcare setting.
• 1-2 Years coding experience in an acute healthcare setting preferred.
• Certification from CCS, RHIT, RHIA, CCA, CPC, or COC required.

Responsibilities

• Assigns ICD-10 diagnostic codes and CPT-4 procedure codes for outpatient visits.
• Monitors work to facilitate the billing process within timeframes.
• Communicates with departments regarding billing and registration issues.

Skills

Strong analytical skills

Organizational skills

Customer service skills

Problem solving

Basic medical terminology

Education

High School graduate or equivalent

Formal ICD-10-CM and CPT training

Associates or Bachelor’s degree

Job description

Job Description

General Summary

Under direct supervision, codes hospital Emergency Department and ancillary visit records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnostic coding and CPT-4 procedure coding classification systems.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

1. Identifies and assigns ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient visits including ED, clinic, recurring rehabilitation, recurring psychiatry and other recurring visit locations for the purpose of reimbursement, research and compliance with federal and state regulations.
2. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes.Codes and abstracts records within timeframes established for each patient type.
   1. Maintains coding quality accuracy rate of 90%.
   2. Maintains productivity rate of 95%.
3. Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details.
4. Complies with AHIMA standards of ethical coding and coding compliance guidelines.
5. Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager.

Company Description

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

Qualifications

Education and Experience

1. High School graduate or equivalent. Formal ICD-10-CM and CPT training required. Associates or Bachelor’s degree preferred.
2. 6 months - 1 year outpatient coding experience in a health care setting. 1-2 Years coding experience in an acute health care setting preferred.
3. One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC).

Knowledge, Skills and Abilities

Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range:$26.14-$36.59

Other Compensation (if applicable):

Review the 2024-2025 UMMS Benefits Guide

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