Outpatient Coding Specialist II

Role Overview

• Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, CPT codes and modifiers as applicable, leading to the assignment of the correct Ambulatory Payment Classification (APC)
• Validates outpatient accounts for medical necessity based on local coverage determination policies (LCDs) or national coverage determinations (NCDs)
• Codes procedures as appropriate and identifies the principal procedure consistent with established coding guidelines
• Collaborates with Clinical Documentation Specialists and members of the medical staff to ensure completeness of documentation

Requirements

• High School Diploma or GED
• Three years of experience in coding most (at least 3) outpatient services
• Successful completion of the Coder Proficiency Exam (pre-hire)
• Ability to adapt to and deal with change and ambiguity
• Ability to plan, organize, prioritize, work independently and meet deadlines
• Ability to comply with the American Health Information Management Association’s Code of Ethics and Standards
• Valid certification such as RHIA, RHIT, CCS, CPC or CCSP

Benefits

• Health insurance
• Flexible working hours
• Professional development opportunities