Medical Coder-Outpatient

Company Description St. Joseph’s/Candler in Savannah, Georgia, is a not-for-profit, faith-based health system and the region’s largest healthcare provider, serving 33 counties across southeast Georgia and the South Carolina Low Country. The system combines advanced medical technology with a strong emphasis on research and evidence-based care and is nationally recognized with a Magnet designation for nursing excellence. Its comprehensive network includes centers of excellence in oncology, cardiovascular care, neurosciences, women’s and children’s services, orthopedics, and other specialties. The Nancy N. and J.C. Lewis Cancer & Research Pavilion is one of only 16 original health systems selected for the National Cancer Institute’s Community Cancer Centers Program, expanding access to leading clinical trials and treatments. Rooted in two of the nation’s oldest continuously operating hospitals, St. Joseph’s Hospital (1875) and Candler Hospital (1804), the system offers a collaborative and mission-driven work environment.

Role Description: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding in accordance with accepted medical and legal standards. Responsible for reviewing physician-chosen CPT, HCPCS, and ICD-10-CM codes in the physicians' documentation to substantiate the level of coding and physician specialty outpatient encounters, including, but not limited to, E/M clinic encounters, infusion services, procedures within specialty practices, and the related infusion therapy suites. The Outpatient Medical Coder will abstract other data elements as required and work within the department and with the practices to obtain any necessary information to accurately and correctly code and bill claims to payers. Other tasks may include account creation and charge entry as needed.

Education

• Associate of Health Information Administration - Preferred

Experience

• 1 Year outpatient coding - Preferred
• Candidates with Apprentice status are welcome to apply to this position.

License & Certification

• Candidates are required to become a certified Coder CPC or CCS within 6 months of hire. If certification is not obtained, the staff member will be at risk of termination.

Core Job Functions

• Codes are assigned according to regulatory guidelines. Physicians are queried for missing documentation to ensure accurate coding, and an account is not finalized until a response is received. Other key data elements are abstracted to support regulatory reporting.
• Reviews the record for additional information required for claim submission. Applies the occurrence code if not captured at the time of admission.