Outpatient Coder 3 (H)

Outpatient Coder 3

The University of Miami/UHealth Department Health Information Management has an exciting opportunity for a full-time Outpatient Coder 3 to work in Miami, FL. Under the general direction of the Outpatient Coding Manager, the Outpatient Coder 3 reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and CPT procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all encounter specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes.

Core Job Functions

• Review, analyze, and interpret the entire electronic medical record (EMR) to identify all diagnoses and procedures documented during a patient's admission.
• Guidelines and knowledge of anatomy and physiology, medical terminology, and disease processes.
• Reviews documentation and reaches out to physicians for additional information when information for proper coding is missing or incomplete.
• Assigns codes to outpatient records for use in reimbursement and data collection.
• Complies with policies and procedures and maintains confidential patient records.
• Reports unusual circumstances, risk factors, errors, and discrepancies to management.
• Consistently maintain coding accuracy and productivity standards of ? 95%.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

Department Specific Functions

• Sign into Microsoft Teams for quick and easy communication between management, supervisor, and colleagues.
• Review Priority work queue each morning to rectify any accounts that have been returned due to missing documentation, physician query response, ADT correction.
• Daily review of OP Claim edit.
• Able to code Ambulatory Surgery, Infusion, Radiation Oncology, Outpatient, Emergency Medicine, Interventional Cardiology, Observation. Wound Care and Therapy accounts.
• Mandatory daily review and reconciliation of any pending audit reviews.
• Code any high dollar accounts that have been assigned by the coding supervisor or manager.
• Check email often for any correspondence coming from OP coding supervisor/manager, CDI, IT, CBO
• Attend all scheduled one on one meetings and/or team meetings.
• Participate in team provided education sessions as well as any AHIMA/AAPC approved continuing education courses to maintain credentials.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Required Qualifications

• High School Diploma or equivalent
• Minimum 5 years of current ICD-10 and CPT outpatient coding experience required.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS),CIRCC
• OR Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
• Skill in completing assignments accurately and with attention to detail.
• Understanding of and adherence to the Health Insurance Portability and Accountability Act (HIPAA).
• Commitment to the University of Miami Health System policies and procedures.
• Must stay up to date with continuing education requirements to maintain credentials.
• Ability to work independently and/or in a collaborative environment.
• Background in use of encoder, computer assisted coding, and EMR software applications.
• Efficient communication skills (interpersonal, verbal, and written).
• Strong organizational and analytical skills.
• Demonstrate critical thinking skills, and ability to interpret, assess, and evaluate provider documentation.
• Proficient with Microsoft Office applications.
• Ability to sit for long periods of time.
• Capable of working in a 100% remote environment with little supervision, while also staying focused on assignment tasks.

Any appropriate combination of relevant education, experience and/or certifications may be considered.