outpatient coder

Wellstar Health System

<div>
 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
 
 
 
 Work Shift
 
 
 
 Day (United States of America)
 
 
 
 Job Summary
 
 
 
 The Outpatient Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in outpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. Abstracts demographic and coding information accurately and completely.
 
 
 
 Core Responsibilities And Essential Functions
 
 
 
 Codes and abstracts medical records with a minimum of accuracy:
 
 
 <ul>
 <li>
 Accurately and completely assigns appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable
 </li>
 <li>
 Accurately and completely abstracts all required patient demographic data into the EMR
 </li>
 <li>
 Accurately assigns correct DRG/APC
 </li>
 <li>
 Meets productivity standards
 </li>
 <li>
 Queries providers, if needed to further clarify code Manages additional coding responsibilities, contributing to the CFB (candidate for bill) goals, including but not limited to:
 </li>
 <li>
 Resolves coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days)
 </li>
 <li>
 Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible
 </li>
 <li>
 Completes assigned work by goal date
 </li>
 <li>
 Assists with coding unassigned or backlogged accounts Other task as assigned:
 </li>
 <li>
 Serves as a mentor to new coders
 </li>
 <li>
 Assist with cleaning up or escalating missing documentation or other work queues
 </li>
 <li>
 If proficient, assists with observation, same day surgery, outpatient and emergency coding when needed or assigned
 </li>
 <li>
 Other tasks as assigned
 
 
 </li>
 </ul>
 
 Required Minimum Education
 
 
 
 <ul>
 <li>
 High School Diploma Other or GED Other or Other / Certificate Anatomy
 
 
 </li>
 </ul>
 
 Required Minimum License(s) And Certification(s)
 
 
 
 All certifications are required upon hire unless otherwise stated.
 
 
 <ul>
 <li>
 Cert Coding Spec-Preferred
 </li>
 <li>
 Cert Prof Coder-Preferred
 </li>
 <li>
 Cert Prof Coder - Hospital OP-Preferred
 </li>
 <li>
 Reg Health Information Admin-Preferred
 </li>
 <li>
 Reg Health Information Tech-Preferred
 
 
 </li>
 </ul>
 
 Additional License(s) And Certification(s)
 
 
 
 Upon Hire Preferred
 
 
 
 Required Minimum Experience
 
 
 
 Minimum 3 years of acute care outpatient and/or IVR coding experience. Required
 
 
 
 Required Minimum Skills
 
 
 
 Must have demonstrated maintenance of a or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements in previous roles.
 
 
 Ability to work in a remote environment.
 
 
 Computer/data entry experience.
 
 
 Ability to communicate with various members of the healthcare team.
 
 
 Ability to use Microsoft (Excel, Word).
 
 
 Join us and discover the support to do more meaningful work&mdash;and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
</div>

Outpatient Coder 2

Houston Methodist

<div>At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
<div>FLSA STATUS 
Non-exempt 
 
QUALIFICATIONS 
 
EDUCATION<ul><li>
Associate&rsquo;s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
</li></ul> 
EXPERIENCE<ul><li>
Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program
</li></ul> 
LICENSES AND CERTIFICATIONS 
Required<ul><li>
Must have one of the following: &bull;RHIT - Certified Health Information Technician (AHIMA) &bull;RHIA - Registered Health Information Administrator (AHIMA) &bull;CCS - Certified Coding Specialist (AHIMA) &bull;CCA &ndash; Certified Coding Associate (AHIMA) &bull;CCS-P &ndash; Certified Coding Specialist Physician-Based (AHIMA) &bull;CPC &ndash; Certified Professional Coder (AAPC)
</li></ul> 
SKILLS AND ABILITIES<ul><li>
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
</li><li>Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
</li><li>Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
</li><li>Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance
</li><li>Knowledge of an electronic medical record and imaging systems
</li><li>Working knowledge of medical terminology, anatomy and physiology
</li><li>Proficiency with electronic encoder application
</li>Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems 
<li>
</li></ul> 
 
ESSENTIAL FUNCTIONS 
 
PEOPLE ESSENTIAL FUNCTIONS<ul><li>
Interacts and communicates effectively with members of the coding team and the appropriate stakeholders.
</li><li>Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders.
</li></ul> 
SERVICE ESSENTIAL FUNCTIONS<ul><li>
Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy.
</li><li>Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process.
</li></ul> 
QUALITY/SAFETY ESSENTIAL FUNCTIONS<ul><li>
Responsible for assigning diagnostic and procedural codes to encounters of high complexity.
</li><li>Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
</li><li>Maintains and achieves departmental standards of abstracting quality by reviewing the discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system.
</li><li>Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/resources for accuracy.
</li><li>Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
</li></ul> 
FINANCE ESSENTIAL FUNCTIONS<ul><li>
Utilizes time effectively. Consistently codes and abstracts at or above departmental standards of productivity while ensuring accuracy of coding.
</li><li>Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts.
</li><li>Maintains coding timeframes within established departmental standards by ensuring all work items assigned to the coding queues are processed in a timely manner.
</li></ul> 
GROWTH/INNOVATION ESSENTIAL FUNCTIONS<ul><li>
Critically evaluates own performance, accepts constructive criticism, and looks for ways to improve.
</li>Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data. 
<li>
</li></ul> 
 
SUPPLEMENTAL REQUIREMENTS 
<ul>
WORK ATTIRE<li><ul><li>
Uniform: No
</li><li>Scrubs: No
</li><li>Business professional: Yes
</li><li>Other (department approved): No
</li></ul></li> 
ON-CALL* 
<li><ul><li>Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.</li></ul></li><li><ul><li>
On Call* No
</li></ul></li> 
TRAVEL** 
**Travel specifications may vary by department**<li><ul><li>
May require travel within the Houston Metropolitan area Yes
</li><li>May require travel outside Houston Metropolitan area Yes
</li></ul></li></ul></div>QUALIFICATIONS 
 
EDUCATION<ul><li>
Associate&rsquo;s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
</li></ul> 
EXPERIENCE<ul><li>
Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program
</li></ul> 
LICENSES AND CERTIFICATIONS 
Required
Must have one of the following: &bull; RHIT - Certified Health Information Technician (AHIMA) &bull; RHIA - Registered Health Information Administrator (AHIMA) &bull; CCS - Certified Coding Specialist (AHIMA) &bull; CCA &ndash; Certified Coding Associate (AHIMA) &bull; CCS-P &ndash; Certified Coding Specialist Physician-Based (AHIMA) &bull; CPC &ndash; Certified Professional Coder (AAPC) 
<ul><li>
</li></ul> 
Company Profile:
Houston Methodist is one of the nation&rsquo;s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!
Houston Methodist is an Equal Opportunity Employer.</div>

Sr Outpatient Coder

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