Inpatient and Outpatient Coder

Reports To: Revenue Cycle Director

FLSA Classification: Full-Time, Non-exempt, Hourly $24.68-30.00

The working environment is a hospital setting with exposure to patients, residents, and families; sharps, infectious diseases, biological and chemical hazards; machinery and equipment; and potentially extreme temperatures and noise levels. Employees are required to follow all safety practices and protocols at all times.

Essential Functions:

Abstract pertinent information from patient records; assign ICD-10-CM, ICD-10-PCS, CPT, or HCPCS codes.

• Perform coding for all Rural Health Clinic, Outpatient Specialty Clinic, inpatient/observation procedures and stays, emergency room visits, and ambulatory surgeries. Drop both professional and facility fees for all cases, orthopedics, general surgery, outpatient IV infusions, laboratory, radiology, physical therapy, and behavioral health. Other department specialties added as they come on.

• Follow up with physicians when code assignments are not straightforward or documentation in the record is insufficient, ambiguous, or unclear for coding purposes.

• Participate in coding training, ongoing audits, and associated work plans.

• Keep current knowledge of coding guidelines and reimbursement reporting requirements; bring identified concerns to supervisor as necessary.

• Expand job related skills and knowledge to improve performance and adjust to change.

• Ensure compliance with the Standards of Ethical Coding by the American Health Information Management Association (AHIMA) and adhere to official coding guidelines.

• Work to obtain and maintain an above 95% coding accuracy rate as per national standards.

• Other duties as assigned.

Education and Experience:

• Certified Medical Coding Certificate from an accredited university or technical school required.

• Understanding of ICD-10-CM, ICD-10-PCS, and CPT diagnosis and procedure coding principles required.

• Knowledge of medical terminology and common procedures required.

Skills and Expectations:

• Kind and professional demeanor.

• Professional and well-groomed appearance at all times.

• Communicate positively and effectively, both written and verbally, with patients, family, and staff.

• Demonstrate effective organizational skills in an evolving environment.

• Work with honesty, compassion and integrity at all times.

• Understand and adhere to the scope of service for the department and this position.

• Understand and adhere to all of PMC’s policies and procedures.

• Understand and adhere to PMC’s Code of Conduct.

• Adhere to the strictest confidentiality and HIPAA regulations.

• Demonstrate a commitment to building and sustaining a diverse, inclusive, and equitable working environment.

• Ability to remain calm and efficient in emergency situations.

• Demonstrate strong problem-solving skills.

• Demonstrate strong emotional intelligence

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing this job, the employee:

• Must be able to remain in a stationary position 50% of the time.

• Must be able to move and traverse about the facility 50% of the time.

• Frequently transport objects weighing up to 50lbs

• Occasionally position objects weighing up to 100lbs.

• Must be able to communicate and exchange information in a way others will understand.

• Must be able to recognize details such as color and depth within a few feet of the observer.

• Frequently operates computers, machinery, and other healthcare equipment.

• Constantly positions self to complete essential functions.

• May be required to wear N95s or PAPRs throughout the shift.

Equal Opportunity Employer
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