: The Clinical Coding Specialist II working in the Outpatient Coding HIS Unit under the general supervision of the Health Information Coding Manager, reviews the outpatient clinical documentation to extract data and assign appropriate ICD-9-CM and CPT codes in accordance with the outpatient ICD-9-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics. Capable of understanding the clinical content of a health record, to ensure the documentation supports the code assignment. Utilizes 3M APC Finder for code assignment and appropriate resolutions of claim edits (NCCI, NCD, OCE, etc.) Confer with physician for clarification as needed. Monitors outpatient uncoded report to ensure timely coding and billing process. Maintains and meets HIS quality and productivity standards.
: Associate degree in health information technology (preferably with RHIT (Registered Health Information Technologist certification.) or other related field or successful completion of coding certification program. Familiarity and understanding of the content of the medical record. Trained in anatomy, physiology and disease processes. Ability to recognize and understand clinical documentation pertinent for coding. Coding certification required from the American Health Information Management Association (AHIMA) (preferred) [RHIT, CCA, CCS or CCS-P] or the American Academy of Professional Coders (AAPC) [CPC or CPC-H].
Must have 1-2 years experience outpatient coding reading medical records.
Experience working with medical records in a hospital setting, clinic, physician's office or health information management department. Ability to meet and maintain established quality and productivity standards. Ability to access and recognize appropriate electronic documents for coding.
Lifespan - 15 months ago