Outpatient Coder (Gila)

Outpatient Facility Coder

Required Skills & Experience - 3+ years of recent outpatient facility coding experience.

• Experience coding the following: recurring visits, physical therapy, wound care.
• Facility coding expertise.
• Ability to maintain productivity while maintaining accuracy.
• Experience with NCCI/CCI code edits.
• Active AHIMA/AAPC Credentials
• Ability to meet and maintain a 95% quality accuracy rate and productivity standards.

Job Description

We are seeking an Outpatient Facility Coder. This role, under general direction, is responsible for coding recurring visits, physical therapy visits, and wound care specialties. Duties and Responsibilities:

• Assigns ICD-10-CM codes for medical record accounts, including but not limited to diagnoses.
• Abstracts key data elements required for billing, regulatory agencies, and other databases.
• Reviews records for clinical pertinence and documentation to support accurate facility-based charges for services performed during the encounter.
• Communicates with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility evaluation/management (E/M) levels.
• Reviews and resolves claim edits related to outpatient encounters to ensure compliant billing, including but not limited to medical necessity and NCCI/CCI edits.
• Assists with resolution of simple visit coding errors related to other outpatient visits as needed.
• Demonstrates courtesy and professionalism through interaction, appearance, attitude, and written and oral communications with visitors, co-workers, physicians, and other hospital personnel as to represent the Medical Records Services as a high-quality service area of the Hospitals.
• Maintains patient confidentiality as required by Hospitals/departmental policy and industry/legal standards.
• Acknowledges and supports Hospitals defined goals and approach to patient care; attends regular training sessions to improve patient and customer communications.