- Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.
- Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
- Analyzes medical records and identifies documentation deficiencies.
- Reviews and verifies documentation supports existing diagnoses, procedures and other charges.
- Identifies reportable elements, complications, and other quality measures.
- Communicates with physicians to clarify information via the physician query process
- Assign CPT, HCPCS and ICD-10-CM codes.
- Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
- Maintains required productivity and quality requirements.
- Other duties and/or projects as assigned.
- Adheres to HMH Organizational competencies and standards of behavior.
- High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
- Minimum of 2+ years of coding experience.
- Strong understanding of physiology, medical terms and anatomy.
- Proficiency in computer skills including typing speed and accuracy.
- Excellent written and verbal communication skills.
- Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
- Proficient in coding Emergency Department and Infusion based services such as Oncology.
- Proficient in coding Ancillary Accounts such as Diagnostic Radiology and Cardiology.
- Multiple years of coding experience, Trauma Level 1 and Academic Teaching facility.
- An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.
Outpatient Coder II - Brick, United States - Hackensack Meridian Health
Description
Overview
Our team members are the heart of what makes us better.
At Hackensack MeridianHealth we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Outpatient Coder II is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives for Hackensack Meridian Health (HMH). Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.
The ideal candidate will have Trauma Hospital experience or multiple years of coding experience.
Responsibilities
A day in the life of a Outpatient Coder II at Hackensack Meridian Health includes:
Qualifications
Education, Knowledge, Skills and Abilities Required :
Education, Knowledge, Skills and Abilities Preferred :
Licenses and Certifications Preferred :
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today
Job ID
Department HIM Outpatient Coding
Site HMH Hospitals Corporation
Job Location US-NJ-Brick
Position Type Full Time with Benefits
Standard Hours Per Week 40
Shift Day
Shift Hours 8:30 a.m. - 5:00 p.m.
Weekend Work Every Other Weekend
On Call Work No On-Call Required
Holiday Work As Needed