REQUIREMENTS:

• License/Certification: Must possess one of the following AAPC/AHIMA certifications: Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
• Experience: Minimum of 3 years’ experience as an Outpatient Coder in a clinic, acute care, or academic teaching facility required.
• Proficiencies: Extensive knowledge of medical terminology, anatomy and physiology, pathophysiology, pathology and laboratory medicine, coding guidelines for ICD-10, CPT, Modifiers, etc.
• Knowledge of current and developing issues, trends in medical coding procedures requirements, and be able to research complex issues as needed.

RESPONSIBILITIES:

• Ensures full and efficient collection and processing of all information necessary for prompt and compliant billing and optimized reimbursement related to clinic and outpatient services.
• Reviews medical records timely to identify diagnoses and CPT procedures relative to the patient’s encounter.
• Abstracts appropriate information from the medical record based on the guidelines provided by the hospital and after a thorough review of the medical record.
• Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the hospital.
• Daily reconciliation of coding to include prior day visits and claims processed.