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Outpatient Coding Specialist II - Ambulatory Surgery Unit (ASU)

Role overview

Summary

This role is for a Coding Specialist II focused on coding and abstracting outpatient records for MedStar Health. You will work within the Outpatient Ambulatory/Same Day Surgery Coding Team, ensuring accuracy and compliance in coding practices.

Qualifications

  • CCS, CCS-P or COC certification.
  • Minimum of two years of ambulatory surgery coding experience.
  • High School Diploma or GED.
  • Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and CPT-4.
  • Preferred: Associate's degree or Bachelor's degree in a coding related field

Responsibilities

  • Analyze and interpret clinical documentation to accurately code and abstract outpatient records.
  • Adhere to compliance regulations and maintain annual compliance education.
  • Contact physicians regarding conflicting or ambiguous information in medical records.
  • Review medical record documentation to identify diagnoses and procedures.

Key facts

  • Remote from: United States
  • Full time
  • Mid-level (2-5 years)
  • Medical Coder
  • $55K – $94K / year
  • English

Hard skills

Other skills

  • Analytical Skills
  • Organizational Skills
  • Communication
  • Computer Literacy
  • Time Management

About the company

MedStar Health logo

MedStar Health

  • Hospitals & Health Systems
  • XLarge
  • 10,001+
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.

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Job description

About this Job:

MedStar Health's Outpatient Ambulatory/Same Day Surgery Coding Team is looking for an experienced Coding Specialist II to join our team as soon as possible!  To qualify the coder must have either a CCS, CCS-P or COC certification and a minimum of two years of ambulatory surgery coding experience.

In this position, you will analyze and interpret clinical documentation to accurately code and abstract primarily Ambulatory Surgery records and other outpatient records for all MedStar Health entities in accordance with established ICD-10-CM/PCS CPT and other applicable coding classification schemes.

Why join our team? We offer an outstanding benefits package designed to support your professional growth and work-life balance, including: 100% remote work opportunity, Monday – Friday dayshift schedule, professional membership reimbursement, generous paid time off, and much more! 

If you're an experienced coding professional looking for a rewarding opportunity with flexibility, professional development, and a great team, we'd love to have you join us!

Primary Duties and Responsibilities

  • 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.

Minimal Qualifications
Education

  • High School Diploma or GED required 
  • Associate's degree or Bachelor's degree in coding related degree preferred 
  • 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), or COC (Certified Outpatient Coder) required 
  • RHIT (Registered Health Information Technician) or 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.

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