Hospital Outpatient Surgery Coder

I. POSITION SUMMARY:

Under direct supervision from the Director of coding, the Outpatient Coder reviews facility outpatient surgery medical records. The Coder works independently daily and is responsible for assigning codes with a high degree of accuracy.

II. PRIMARY JOB RESPONSIBILITIES:

• Reviews outpatient medical records to assign ICD, CPT, HCPCS codes accurately
• Meets and exceeds productivity and quality standards (target is 6.25/hour)
• Reviews physician documentation to code accurately
• Updates charges (as needed) and processes the records in a timely manner
• Reviews tasks and corrects codes as needed
• Provide training to fellow staff to improve coding outcomes as needed

III. ADDITIONAL JOB RESPONSIBILITIES:

• Performs miscellaneous job-related duties as assigned.

IV. POSITION QUALIFICATIONS:

Education:

• High School Diploma or GED Required with completion of a coding certification program
• Associate’s degree in health information management or similar preferred

Experience:

• Minimum 2 years of outpatient coding experience in hospital facility and/or professional coding
• ICD-10, CPT, HCPCS experience required
• Minimum 2 years’ experience that are directly related to the duties and responsibilities specified above.

Licensure/Credentials:

Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS)

Knowledge, Skills, and Abilities: Working knowledge of coding guidelines

• Ability to use independent judgment and to manage and impart confidential information.
• Advanced knowledge of medical coding, electronic medical record systems, coding systems.
• Ability to analyze and solve problems.
• Strong communication and interpersonal skills.
• Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation.
• Knowledge of current and developing issues and trends in medical coding diagnosis and procedure code assignment.