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Outpatient Medical Coder 2

Roles & Responsibilities

  • Minimum completion of a CAHIIM-approved coding certificate program or HIMT program.
  • Credentialed as RHIT, RHIA, or CCS by AHIMA, or COC by AAPC.
  • Familiarity or experience with computer-assisted coding and/or automated encoder.
  • Radiation Oncology Certified Coder (AMAC) certification if coding Radiation Oncology accounts; continuing education requirements per AHIMA or AAPC.

Requirements:

  • Code outpatient medical records (ER, outpatient clinic including oncology, observation, and other ancillary areas) to support reimbursement and data collection; apply ICD-10-CM and CPT-4 codes.
  • Review, analyze, and resolve hospital claim edits to ensure claims are billed and paid; identify and correct coding, medical necessity, registration, and payer-specific issues.
  • Select appropriate admitting diagnosis, first-listed and secondary diagnoses, and sequencing of diagnoses and procedures; ensure codes flow from Encoder Software to EPIC/IHIS Resolute Billing system.
  • Attend coding meetings and education sessions; maintain an approved work schedule and adhere to department productivity and quality standards.

Job description

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Job Title:

Outpatient Medical Coder 2

Department:

Health System Shared Services | MIM CDI and Coding

Scope of Position 

This area codes outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Wexner Medical Center and The James Cancer Hospital.  ICD-10-CM codes are assigned for the diagnoses of all outpatients treated within the OSU Health System. ICD-10-CM diagnoses and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master.  Medical record abstract data is reviewed for accuracy in EPIC/IHIS before completing the chart.  This position is responsible for coding some or all the following types of records: emergency room, outpatient clinic including oncology clinic, observation, and other ancillary areas. This position is responsible for reviewing, analyzing, and resolving hospital claim edits that prevent claims from being billed or paid. This position supports accurate and timely revenue capture by identifying and correcting claim errors related to coding, medical necessity, registration, and payer-specific requirements. 

Position Summary 

The position is primarily responsible for coding and outpatient claim edit review of medical records and other documents at the conclusion of the patient’s visit.  This requires the selection of appropriate admitting diagnosis, first listed and secondary diagnoses, and sequencing diagnoses and procedures.  Codes flow from the Encoder Software to EPIC/IHIS Resolute Billing system. This staff member is responsible for complete and accurate coding for hospital reimbursement, research, and planning, in accordance with productivity and quality standards set for the department, and maintaining an approved work schedule.

Minimum Qualifications 

For Hire:        

  • Minimum completion of a CAHIIM approved coding certificate program or HIMT program.
  • Demonstrated coding proficiency through satisfactory completion of OSUWMC’s coding test.
  • Familiarity or experience with computer-assisted coding and/or automated encoder.

Required:

  • Required for hospital coding: Credentialed as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) by the American Health Information Management Association; or Certified Outpatient Coder (COC), formerly CPC-H, by AAPC.

Radiation Oncology Certified Coder by AMAC (note: applicable if only coding Radiation Oncology accounts).

Competency expectations:

  • Maintain continuing education requirements as determined by the American Health Information Management Association or American Academy of Professional Coders. Review Coding Clinics, CPT assistant as frequently as needed for education purposes, and to ensure the official coding guidelines are followed. 
  • The medical records coding specialist attends coding meetings and coding education sessions for updates on coding guidelines and related education opportunities.

Additional Information:

Location:

Remote Location

Position Type:

Regular

Scheduled Hours:

40

Shift:

Varying Shifts

Final candidates are subject to successful completion of a background check.  A drug screen or physical may be required during the post offer process.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.

The university is an equal opportunity employer, including veterans and disability. 

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