The primary duties of an Outpatient medical coder are to review clinical documentation(paper or electronic) and accurately assign medical codes for Outpatient Primary Care services; which includes, assignment of Evaluation and Management(E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation for outpatient encounters.
Competencies /Mandatory Knowledge and Skills
Position requires excellent computer/communication skills for provider and staff interactions
Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines(outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.
Candidate must have the ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.
Education/ Experience. ONE of the following is required to fulfill minimum educational requirements:
- An associate’s or higher degree in Health Information Management;
- A university certificate in medical coding;
- At least 30 semester hours’ university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology;
- Successful completion of an American Academy of ProfessionalCoders (AAPC) or American Health InformationManagement Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy, and physiology, health information management concepts, and pharmacology.
Medical Coding Certifications. Personnel in this position are required to possess a current coding certification in good standing from EACH of the following categories:
Professional Services Coding Certifications: CPC, CCS-P, or RHIT;
Institutional(Facility) Coding Certification: CIC,CCS, RHIA. Others on a case-by-case basis;
Evaluation and Management (E&M) Auditor Certification: CEMA.
ON A CASE BY CASE BASIS SUFFICIENT EXPERIENCE MAY ALLOW PROBATIONARYEMPLOYMENT WHILE PERSONNEL GAINS CERTIFICATION
Experience: Personnel in this position are required to possess a minimum of two (2) years of medical coding and/or auditing experience.
A Detailed Job Description including exhaustive task list will be supplied upon application. The POSITION IS GOVERNED BY THE McNamara-O'HaraService Contract Act (SCA).
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