Description
About the Job
General Summary of Position
The MedStar Outpatient Ambulatory/Same day surgery coding team is looking to add an experienced, coding specialist I to their team as soon as possible. An ambulatory coder plays a crucial role in the same day surgery process by ensuring accurate and compliant medical coding. They are responsible for assigning appropriate diagnosis and procedure codes for outpatient surgeries. They analyze and interpret clinical documentation to accurately code and abstract primarily Emergency Department Observation beginning level Ambulatory Surgery and other outpatient records for all MedStar entities in accordance with established ICD-10-CM/PCS CPT and other applicable coding classification schemes. With amazing benefits, including 100% remote, flexible schedules, paid continuing education, membership reimbursement, paid time off, medical/vision/dental coverage, retirement, competitive pay, and employee referral bonuses, there is something for everyone!
Primary Duties and Responsibilities
- Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
- Abstracts and ensures accuracy of diagnoses procedure patient demographics and other required data elements.
- Adheres to all compliance regulations and maintains annual compliance education.
- Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.
- Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.
- Consistently meets or exceeds established Quality standards as defined by policies.
- Consistently meets or exceeds established Productivity standards as defined by policies.
- Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).
- Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic procedural codes and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.
- Exhibits knowledge of the Solventum system and other work-related equipment.
- Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
- Participates in multi-disciplinary quality and service improvement teams.
- Performs other duties as assigned.
Minimal Qualifications
Education
- High School Diploma or GED required
- Associate's degree in coding related preferred
- Bachelor's degree in coding related preferred
- Courses in Medical Terminology Anatomy & Physiology ICD-CM required and
- CPT-4 preferred
Experience
- Minimum of 1-2 years of ASU coding experience
- Coding experience and experience with clinical information systems (Solventum grouper electronic medical records computer assisted coding) preferred
Licenses and Certifications
- CPC (Certified Professional Coder) CCA (Certified Coding Associate) or other coding certification credentials within 1 Year required
- RHIT (Registered Health Information Technician) and RHIA (Registered Health Information Administrator) preferred
Knowledge Skills and Abilities
- Verbal and written communication skills.
- Basic computer skills required.
- Strong analytical and organizational skills; ability to prioritize workloads and meet deadlines.
This position has a hiring range of
USD $23.65 - USD $42.03 /Hr.
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