Outpatient Coder - E.R. Cases

cpsi; United States; On-site; USD 60,000 - 80,000; Full time

Job summary

CPSI is seeking a Coding Advocate to perform inpatient/outpatient medical coding and data abstraction for Hospital (Acute) Out-Patient visits, with a focus on Emergency Room cases. The role utilizes the 3M 360 Encoder HDM to streamline the coding and billing process.

The ideal candidate holds AHIMA or AAPC certification, has ER coding experience, and can accurately code using ICD-10-CM/PCS while complying with HIPAA and related regulations. They will float between multiple sites as needed.

Qualifications

• 2 year degree or equivalent experience and AHIMA/AAPC certification required.
• Proficient in ICD-10-CM/PCS coding with ER emphasis.
• Experience coding Emergency Room cases required.
• Experience with 3M 360 Encoder HDM required.

Responsibilities

• Assign ICD-10-CM/PCS codes for inpatient/outpatient hospital visits.
• Create compliant physician queries as needed.
• Review claims for medical necessity and update problem lists.
• Assign present on admission indicators and ensure accurate DRG.
• Provide excellent customer service to clients and teammates.
• Float between multiple sites and coding specialties.

Skills

ER coding

Attention to detail

Communication

Time management

Education

2 year degree or equivalent experience

AHIMA or AAPC certification REQUIRED

RHIA

RHIT

CCS

CPC

COC

Tools

3M 360 Encoder HDM

Job description

The Coding Advocate will handle medical coding and data entry / abstraction for Hospital (Acute) Out-Patient visits. Specifically, will code Emergency Room (E.R.) cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process.

These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change.

All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate.

Essential Functions:

• Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate assignment of the DRG.
• Ability to create compliant physician queries.
• Accurately review claims for medical necessity.
• Update problem lists consistent with client contract.
• Correctly assign present on admission indicators.
• Ability to provide excellent customer service to our clients and teammates.
• Consistently demonstrates an excellent attitude, and works to strengthen the team as a whole.
• Floats between multiple sites, and coding specialties with ease and flexibility.

Minimum Requirements:

• Education/Experience/Certification Requirements
• 2 year degree or equivalent experience; AHIMA or AAPC certification REQUIRED.
• Actively holds one or more of the following credentials: RHIA, RHIT, CCS, CPC, COC
• Experience coding Emergency Room cases REQUIRED.
• Experience working with 3M 360 Encoder HDM REQUIRED.
• Meets or exceeds Quality and Productivity standards.
• Excellent communication (written and oral) and interpersonal skills.
• Strong organizational, multi-tasking, and time-management skills.
• Must be detail oriented and able to follow through on issues to resolution.
• Must be able to act both independently, and as a team member.
• Excellent communication (written and oral) and interpersonal skills.
• Strong organizational, multi-tasking, and time-management skills.
• Must be detail oriented and able to follow through on issues to resolution.
• Must be able to act both independently and as a team member.