Coder II Outpatient

  • MaineHealth
  • Rockport, ME, USA
  • Apr 28, 2020

Job Description

Summary

  • Position Summary
    • 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.