This is the second level of a 4-tiered career path, under the general direction of the Director of Health Information or Lead Coder, this position, this position is responsible for the accurate assignment of ICD-10 and CPT-4 coding of diagnoses and procedures for outpatient medical records in multiple different outpatient settings including Outpatient Hospital Clinics, Day Surgery, Observation, interventional radiology records, Provider Based Clinics (inclusive of E/M, Coding for both inpatient and outpatient professional procedures), , Emergency department and other areas as needed. Position includes performing abstracting to determine accuracy and completeness of the outpatient record, utilizing the 3M Coding Reimbursement and Meditech /or EPIC EMR systems to compile data. The Coder II evaluates medical necessity and Correct Coding Initiative edits and resolves them accurately. Data reported is used to meet licensure requirements, statistical purposes and reimbursement purposes.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: Associates degree in a science field strongly preferred with completion of an accredited program through AHIMA or AAPC.
License/Certifications: RHIT, RHIA, CCS or CPC, CPC-H or COC.
Experience: CPT/ICD-10-CM/HCPCS/modifier coding with 6 months' experience in an acute care facility or successful completion of an approved outpatient coding apprenticeship program.
Proficiencies: Demonstrated knowledge of ICD-10 CM/PCS, CPT-4 and HCPCS coding guidelines and principles required. Employee has the ability to demonstrate competence and knowledge-base through the utilization of a standardized test with a minimum of 95% accuracy while meeting productivity requirements.
Specialized Knowledge : Strong ability to apply broad guidelines to specific coding situations, independently, utilizing discretion and a significant level of analytical ability.
Committed to being the trusted source for quality care – and careers.
At MaineHealth, exceptional people using the latest in advanced innovations help ensure that our northern New England communities are the healthiest they can be. From a full array of telehealth programs to the most sophisticated electronic medical records system, our clinical technology is second to none. But it’s our people who bring these medical advancements to life as they change the lives of the people in the communities we’re proud to serve.
As a non-profit family of high-quality healthcare providers, we’re working together to create strong, vibrant and healthy partnerships. We are an integrated healthcare delivery system made up of the state’s only academic medical center (and largest hospital), a large bio-medical research center, community hospitals, home care agencies, physician practices, an outpatient lab, and diagnostic and surgery centers. In addition to our clinical opportunities, MaineHealth also offers a variety of fulfilling careers in finance, human resources, information services, marketing, support services, and more!
The MaineHealth family of hospitals and healthcare organizations offers outstanding opportunities to work and live in one of the most spectacular areas of our nation. Our ongoing growth and focus on compassionate care mean a choice of challenging and rewarding career opportunities throughout our system – from mid-sized cities and small towns in the mountains to beautiful coastal communities.
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