Key Facts

Remote From:

Idaho (USA)

Full time

Mid-level (2-5 years)

55 - 94K yearly

English

Hard Skills

Outpatient Coding ICD 503 CPT Coding Productivity Improvement Medical Necessity Coding Classification Systems Regulatory Compliance Medical Record Management Access Modifiers Diagnosis Codes +8 more

Other Skills

•
Quality Assurance
•
Non-Verbal Communication
•
Analytical Skills
•
Time Management
•
Basic Internet Skills
•
Organizational Skills
•
Detail Oriented
•
Prioritization

Roles & Responsibilities

High School Diploma or GED required; Associate's degree or Bachelor's degree in coding-related field preferred.
Courses in Medical Terminology, Anatomy & Physiology, ICD-10-CM and CPT-4 required.
2 years ASU coding experience and experience with clinical information systems (Solventum, groupers, EMRs, and computer-assisted coding) required.
CCS/CCS-P or COC required; RHIT or RHIA preferred.

Requirements:

Analyze and abstract outpatient and Ambulatory Surgery records to assign accurate ICD-10-CM/PCS and CPT codes and modifiers using guidelines and automated encoding software.
Ensure accuracy of diagnoses, procedures, demographics, and other required data elements; comply with regulations and maintain quality and productivity standards; resolve quality reviews timely.
Communicate with physicians to resolve conflicting or ambiguous documentation; adhere to the MedStar Coding Query Policy and maintain ongoing compliance education and credentials.
Participate in meetings, committees, and quality/service improvement teams; maintain knowledge of Solventum and related systems; perform other duties as assigned.

MedStar Health

About MedStar Health

MedStar Health is a not-for-profit health system dedicated to caring for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. MedStar’s 30,000 associates, 6,000 affiliated physicians, 10 hospitals, ambulatory care and urgent care centers, and the MedStar Health Research Institute are recognized regionally and nationally for excellence in medical care. As the medical education and clinical partner of Georgetown University, MedStar trains more than 1,100 medical residents annually. MedStar Health’s patient-first philosophy combines care, compassion and clinical excellence with an emphasis on customer service.

Company type: XLarge

Founded: 2018

Company size: 10001

Website LinkedIn See all jobs →

Job description

About this Job:

General Summary of Position
The Outpatient Coding Specialist II analyzes and interprets clinical documentation to accurately code and abstract primarily Ambulatory Surgery records and other outpatient records for all MedStar entities in accordance with established ICD-10-CM/PCS CPT and other applicable coding classification schemes.

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 preferred or
Bachelor's degree in coding related degree preferred and
Courses in Medical Terminology Anatomy & Physiology ICD-CM and CPT-4 required

Experience

2 years ASU (Ambulatory Surgery) coding experience and experience with clinical information systems (Solventum grouper electronic medical records computer assisted coding) required

Licenses and Certifications

CCS (Certified Coding Specialist) CCS-P (Certified Coding Specialist-Physician-based) required or
COC (Certified Outpatient Coder) required and
RHIT (Registered Health Information Technician) preferred 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 $28.76 - USD $48.96 /Hr.