Outpatient Coding Specialist – Precision & Compliance

sluhn; Allentown (Lehigh County); On-site; USD 60,000 - 76,000; Full time

Job summary

St. Luke's University Health Network seeks a Certified Outpatient Coding Specialist to code and abstract patient medical information per AHA/AMA guidelines, using the 3M Encoder and ensuring high-quality data.

Collaboration with Health Information and Finance will ensure accurate data flow across departments. Experience with EPIC, connaissance of MS-DRG/APR-DRG principles, and commitment to ongoing credentialing within three years are preferred; day shift with weekend rotations; Equal

Qualifications

• Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting.
• Knowledge of anatomy and physiology, pathophysiology, and medical terminology required.
• Previous experience with EPIC health information computerized patient record and 3M encoding system preferred.
• Will consider candidate with greater than 3 years experience in the coding field without coding credentials; if credentialed, AHIMA/AAPC credential within three years of hire.

Responsibilities

• Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations
• Utilizes the 3M Encoder to verify and assign AHA ICD-10-CM/PCS and AMA CPT-4 codes, and MS-DRG/APR-DRG assignment
• Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews
• Maintains daily productivity and turnaround times as outlined in Department's Performance Improvement plan
• Responsible for remaining up-to-date with knowledge of AHA ICD-9-CM/ICD-10-CM/PCS and AMA CPT-4 coding conventions, MS-DRG and APR-DRG principles and guidelines
• Maintains a working knowledge of prospective payment systems as it relates directly to coding process
• Participation in department and sectional meetings, education sessional sessions and workshops as scheduled
• Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists

Skills

ICD-10-CM/PCS coding

CPT-4 coding

data quality

anatomy & physiology knowledge

medical terminology

EPIC health information system

3M encoding system

MS-DRG/APR-DRG principles

Education

RHIA

RHIT

CCS

CPC

Tools

EPIC

3M Encoding System

Job description

St. Luke's University Health Network seeks a Certified Outpatient Coding Specialist to code and abstract patient medical information per AHA/AMA guidelines, using the 3M Encoder and ensuring high-quality data.

Collaboration with Health Information and Finance will ensure accurate data flow across departments. Experience with EPIC, connaissance of MS-DRG/APR-DRG principles, and commitment to ongoing credentialing within three years are preferred; day shift with weekend rotations; Equal