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Coder II, Ambulatory

Coder II, Ambulatory

Job Description

This position assigns, per coding guidelines, the ICD-9-CM and CPT-4 diagnosis and procedure codes for Observation, Same Day Surgery, Emergency Department, Urgent Care and/or Ancillary medical records. Completes coding for all accounts on a timely basis within the four day bill hold time frame. Follows up on all accounts needing coding queries or documentation completion by clinicians or medical staff. Demonstrates coding competencies with quality of coding and daily output of volume consistent with department productivity standards.

PCH Values
  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.
Position Duties

1. Maintains consistent coding accuracy rate of 95% or better.
  • Assigns diagnosis codes and procedure codes utilizing ICD-9-CM and CPT-4 coding classification systems in compliance with hospital guidelines, ICD-9-CM Official Guidelines for Coding and Reporting, and UHDDS definitions.
2. Meets the established productivity standards for each visit type coded.
3. Abstracts clinical and requested data from the health record and enters into AMPFM with a 99% abstraction accuracy rate.
4. Communicates with medical staff when appropriate to facilitate the assignment of proper diagnosis and procedure codes.
5. Demonstrates competencies with all software and hospital systems utilized, including ChartMaxx, SCM, 3M Encoder, and AMPFM.
6. Monitors daily the Fatal Edit report to ensure all assigned records are coded on a timely basis within the four day bill hold time frame.
7. Acts as a resource to hospital staff for all coding related questions. Responds in a timely manner to e-mails, bill edits, or other requests.
8. Maintains professional certification and technical competency by attending education and training activities sponsored through the hospital, professional associations, and through independent study. Keeps apprised of current trends, developments and awareness of coding changes.
9. Performs miscellaneous job related duties as requested.

Job Requirements

Education Requirements
  • Associates degree in Health Information Management or equivalent combination of post-secondary education and experience. (Required)
Experience Requirements
  • Requires minimum of 3 years coding experience or is proficient coding two or more of the following visit types (Observation, Same Day Surgery, Urgent Care, and Emergency Department). (Required)
  • Experience with utilizing the 3M encoder software system and electronic abstracting system. (Preferred)
  • Experience in assigning CPT Evaluation and Management codes for physician and facility services. (Preferred)
Certification/License/Registry Requirements
  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) certification by AHIMA, or Certified Professional Coder (CPC) certification by AAPC. (Required)
Skill Requirements
  • Proficient computer skills, including the use of Microsoft Outlook, Excel and Word. (Required)
  • Ability to apply knowledge of anatomy, physiology, clinical disease processes, pharmacology, diagnosis and procedural terms to assign ICD-9-CM diagnosis and procedure codes and CPT-4 procedure codes. (Required)
Physical Requirements
  • Physical Requirement - Hearing (Frequently)
  • Physical Requirement - Reaching (Occasionally)
  • Physical Requirement - Sitting (Constantly)
  • Physical Requirement - Talking (Occasionally)
  • Physical Requirement - Walking (Occasionally)
  • Physical Requirement - Near Vision (Constantly)
  • Physical Requirement - Use of keyboard, mouse and/or computer equipment (Constantly)
  • Occupational Exposure/Risk Potential - Inside office environment (Applicable)

Job Snapshot

Employment Type Full-Time
Job Type Health Care
Education 2 Year Degree
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID 48425
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Coder II, Ambulatory


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