CODER OUTPATIENT PROFESSIONAL SURGERY ER

As an intermediate level clinical coding specialist, assigns compliant, complete, and accurate APC’s, ICD diagnosis codes, CPT/HCPCS procedure codes, E/M facility and Professional level codes, and modifiers.

Primary patient types to include, hospital outpatient services, Emergency Department, Urgent Care, Ambulatory Surgery, Observation, and other outpatient and Professional clinics or services.

Works collaboratively with other members of the health information management team to complete all essential responsibilities in a timely fashion to meet the quality, utilization, and financial needs of the organization.

Ensures complete and accurate abstraction of the medical record data, and maximum reimbursement.

• Required
• Active; Minimum of one of the following credentials:
• AHIMA RHIA or AHIMA RHIT or AHIMA CCS or CCS-P or AAPC CASCC or AAPC CGSC or AAPC COC or AAPC CPC or AAPC CIRCC or AAPC CANPC or AAPC CCVTC or AAPC CCC.
• Preferred
• Any additional AAPC Specialty credential above minimum requirement
• Two years of previous coding experience or one year as a CTH clinical coder 1.
• Active AHIMA membership
• Active AAPC membership
• Associate’s degree in health information technology from an accredited program.

• Assign compliant, complete, and accurate APC’s, ICD CM diagnosis codes, CPT/HCPCS procedure codes, E/M facility and professional level codes, and modifiers to the hospital outpatient and professional services. Services to include ancillary services, urgent care, emergency department, outpatient surgery, and other outpatient patient types, Professional IP, surgeries and office visits or procedures or other specialties as needed.
• Work professional denials and claim edits. Identify trends in denials.
• Identify anatomy and physiology, clinical disease processes, pharmacology, and diagnostic terminology to assign accurate diagnosis codes. Search appropriate reference materials to obtain current information, guidance, and requirements as needed.