HOSPITAL OUTPATIENT CODER

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.
As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 10,000 who are shaping the future we envision.
Moffitt has been recognized as a Best and Brightest Company to Work for in the Nation, a Digital Health Most Wired Organization and continually named one of the Tampa Bay Time’s Top Workplaces.
A National Cancer Institute (NCI)-designated Comprehensive Cancer Center since 2001.

Summary

Position Highlights:

Hospital Outpatient Coder Senior reviews, analyzes and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinic Modification ("ICD- 10-CM"), Current Procedural Terminology ("CPT"), and Healthcare Common Procedure Coding ("HCPCS") coding. The Hospital Outpatient Coder Senior promotes provider/patient continuity, accurate database information and the ability to optimize reimbursement. In addition, this position ensures compliance with established coding guidelines, federal regulations and accreditation guidelines.
Hospital Outpatient Coder Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership.

Responsibilities:

• Determine the proper codes and modifiers for all billable services utilizing ICD-10-CM, CPT, and HCPCS code sets in accordance with coding compliant guidelines, federal regulations and accreditation guidelines.
• Analyzes and reviews medical record documentation in the medical record for the purpose of assigning diagnosis and CPT codes to the documentation submission to insurance payers.
• Codes for 100% of medical records/encounters for each assigned clinic or encounter type by following quality standards as outlined in the Productivity and Quality KPI Operational Guidelines - HIM Facility OP Coding.
• Codes for 100% of medical records/encounters for each assigned clinic or encounter type daily following productivity standards as outlined in the Productivity and Quality KPI Operational Guidelines - HIM Facility OP Coding.
• Utilize time management skills to ensure that all codes are entered and coding edits are handled prior to month end.
• Alerts Manager of HIM coding or Director of HIM in identifying and analyzing problems or issues that prevent the accurate and timely coding of medical records.
• Knowledge and expertise necessary to perform the query process to clarify and confirm clinic documentation.
• Maintain credentials/certification and education to stay current with all coding of ICD-10-CM and CPT codes and skills to accurately abstract and code medical records.
• Participates in special projects assigned by the Mid Revenue Cycle leadership
• Serves as a subject matter expert on the team and assist less experience team members on following operational policies. Trains and onboards new team members
• All other duties as assigned

Credentials and Education:

• High School Diploma/GED
• Four (4) years health care outpatient coding experience with ICD-10-CM, CPT and HCPCS classification
  systems for more than one outpatient specialty

Certifications Required: Must have one of the following certifications:

• (CCS) Certified Coding Specialist
• (CPC) Certified Professional Coder
• (CPMA) Certified Professional Medical Auditor
• (COC) Certified Outpatient Coder
• (CCS-P) Certified Coding Specialist - Physician
• (RHIT) Registered Health Information Technician
• (RHIA) Registered Health Information Administrator
• Any relevant certification not listed above but issued from a governing body listed below may be reviewed and considered by the business to satisfy this requirement: 
  • (AAPC) American Academy of Professional Coders www.AAPC.com 
  • (AHIMA) American Health Information Management Association www.ahima.org 

Additional Skills/ Specialized Training Required: 

• Experience in coding hospital electronic medical records.
• Excellent communication and interpersonal skills.
• Experience with automated patient care and coding systems. (Cerner Electronic Health Record, OPTUM Enterprise Computer Assisted Coding, 3M encoder, Soarian financial billing system.)
• Competence with MS Office software (Word, Excel, Zoom and Outlook).
• Extensive knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and CPT codes.
  coding guidelines, Center for Medicare & Medicaid Services ("CMS") guidelines, American Health Information Management Association ("AHIMA") and American Academy of Professional Coders ("AAPC") code of ethics.

Preferred Experience
• Experience with coding oncology related services.
• Work with minimal supervision
• Multi-tasking skills
• Written, and verbal communication skills
• Computer skills appropriate to position
• Customer service skills and ability to work in a fast-paced environment
• Organizational skills