Outpatient Coder II
On-siteWorcester, Massachusetts, United States
Worcester, Massachusetts, United StatesOn-siteFull TimeLarge
Full TimeLarge
Job Summary
Review medical records and diagnostic documentation to assign appropriate ICD-CM, CPT, and ICD-PCS codes for outpatient care episodes. Verify documentation substantiates assigned codes, resolve incomplete chart information to expedite billing, and maintain a coding accuracy rate of not less than 95%. Participate in continuous coding audits, attend required training classes, and communicate with management regarding backlog situations or coding irregularities. Adhere to coding regulations established by the American Hospital Association, American Medical Association, and Centers for Medicare and Medicaid Services.
Required Qualifications
- High School diploma or equivalent
- Knowledge of ICD-CM (current edition) and CPT coding systems as well as CCI edits
- Knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices
- Good interpersonal and communications skills and demonstrates professionalism
- Good customer service skills with the ability to communicate efficiently
- Good organizational skills with attention to detail
- Ability to work independently within established guidelines
- Ability to organize and coordinate multiple functions and tasks
- Ability to problem solve, organize and prioritize workload to meet productivity benchmarks
- Ability to withstand significant level of on-going pressure, and ability to deal with individuals with tact, discretion and diplomacy
- Training in medical terminology from an accredited program, completing and passing certification program within one year from date of hire
- Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P)
Desired Qualifications
- Medical coding certification
- Three (3) years of medical abstraction and outpatient coding experience or related work experience
- Evaluation and Management coding experience
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