Coder Outpatient Surgery

Summary

Job Description:

Baptist Health is looking for a Coder Outpatient Surgery to join their team! This is a remote position that requires residency in KY or IN

Function in a fully accountable role with respect to ensuring the overall quality of outpatient surgery andobservation coding with continuous quality improvement when indicated. The coder ensures that accurateand complete coding is performed so it can be used for measuring and reporting physician and hospitaloutcomes. The coder maintains an extensive up to date knowledge of clinical coding and has an extensiveknowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHAOfficial Coding Guidelines as they pertain to diagnosis and procedural coding.

Essential Duties:

• Ensures that accurate and complete coding is performed on outpatient surgery and observationencounters to be used for all reporting agencies and for measuring and reporting of physician andhospital outcomes.

• Utilizes and is proficient with ICD 10-CM and CPT coding.

• Maintains knowledge of up-to-date coding guidelines as well as knowledge of changes as theyrelate to AHA Coding Clinic and CPT Assistant.

• Maintains knowledge to anatomy and physiology, medical terminology, and medical procedures.

• Maintain extensive, up-to-date knowledge of Local and National Coverage Determinations and otherCMS transmittals as related to outpatient surgery and observation coding.

• Maintains proficiency with the electronic health record, coding software and all other coding anddocumentation systems required to accurately code and abstract a claim while producing a clean

• claim.

• Reviews the medical record at the time of coding to evaluate whether existing documentationsupports diagnosis and procedure code assignment or whether additional clarification is neededthrough defined and compliant process for provider queries.

• Performs coding and abstracts all required data fields according to the standardized policies andprocedures determined by management team.

• Ensures all ADT information is accurate on all outpatient encounters.

• Maintains quality and quantity standard of work performed as set by system management team.

• Reviews all coding edits and track errors as requested for contract coders

Qualifications:

• High School/GED with 2 years job related experience

• RHIT, RHIA, CCS, CPC, or COC required

Work Experience

Education