Outpatient Coding Abstractor

Codes Outpatient Diagnostics, Recurring and/or Emergency Department accounts. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for hospital reimbursement, medical necessity, mortality & morbidity outcomes, governmental compliance coding, research, statistics, and regulatory compliance.

Under the direction of the Health Information Management Coding Manager, accurately codes outpatient encounters diagnosis, procedures and/or modifiers that are supported by the health record in accordance with ICD-10-CM Official Coding Guidelines for Coding and Reporting. Abstracts, codes and assigns necessary demographic and clinical data elements required for outpatient records.

• Effectively utilizes encoder software to ensure appropriate reimbursement and accurate APC assignment.
• Completes all work in accordance with defined productivity and quality standards.
• As necessary, queries and/or submits request to the physician for additional information or clarification of diagnoses, co-morbid/secondary conditions, and procedures.
• Assures coding practices fall within established compliance guidelines.
• Performs other related duties as requested by HIM management.

Remote residency must be one of the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland,  Nebraska,  New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma,  South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming

Education

• High School Diploma

Certification/Licensure

• 6 months of outpatient coding preferred.
• Certified Coding Associate (CCA) also accepted.
• Knowledge of ICD-10-CM and CPT coding (or most current healthcare industry numerical coding system) procedures required.
• CCS, CIC, CPC, COC or RHIT (Registered Health Information Technician) required within 1 year of hire. Successful completion of an AHIMA certified coding program preferred.
• Knowledge of anatomy & physiology - required No specific certification or licensure requirements

Experience

• Remote Position
• Previous clinical experience ( Coding, Medical Terminology, Physiology, Pharmacology, etc.)
• previous coding experience preferred
• General knowledge of and successful maintenance of outpatient records strongly preferred