Outpatient Coder II

Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians.

Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities.

Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better.

Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines.

Reviews coding and amends coding edits to assure compliance with all applicable regulations.

• Codes all outpatient medical records in a timely and accurate manner according to department policy.
• Defines and transforms verbal descriptions of diseases, injuries, and procedures into numerical designations (codes) using ICD-10-CM and CPT-4 according to established coding guidelines.
• Initiates a physician/department query when there is conflicting, incomplete, or ambiguous documentation in the record or additional information is needed for accurate coding.
• Enters all required information accurately into computer system for reimbursement and statistical purposes.
• As applicable based on facility workflow, independently reconcile charges for areas of responsibility. Uses patient schedule together with billing slips to identify missing charges. researches and resolves discrepancy so charge keyed reflect services delivered.
• Performs ICD-10-CM diagnostic and CPT-4 coding at a minimum accuracy rate of 95%.
• Remains abreast of all applicable Federal, State, regulatory and hospital-specific coding guidelines.