Outpatient Coder

Position Summary

Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services for UMC. Identifies and reports coding opportunities and recommendation for improvement. Monitors and reports trend and escalates discrepancies to management.

Job Requirement

Education/Experience: Equivalent to graduation from high school and two (2) years of outpatient (physician's office, ambulatory surgery centers, emergency department, or multidisciplinary medical practice/group coding experience.

Licensing/Certification Requirements: To include one or a combination of the following:

• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)
• Certified Outpatient Coder (COC)
• Physician based (CCS-P)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)

Additional Position Requirements

• Two (2) years of documented experience in Outpatient Coding Professional - capturing the physician's or clinician's work, skill, and MDM (physician's office, multidisciplinary medical practice professional services (Orthopedics, Primary Care, Interventional Radiology, ED, hospitalist)

Knowledge, Skills, Abilities, and Physical Requirements

Knowledge of: Outpatient code sets including CPT, HCPCS, ICD10-CM/PCS, and Medicare hospital and physician outpatient coding and reimbursement regulations; current healthcare based technology and Electronic Health Record (EHR) practices; coding guidelines; departmental policies and procedures; medical terminology, anatomy and physiology, disease process and minor surgical procedures; laws, codes, rules and regulations governing area of assignment; revenue cycle workflows (charges/charge master, code edits, auditing, denials management, and document improvement); department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures.

Skill in: Coding and maintaining department specific quality standards and meet productivity standards as documented by the department and organization; reviewing and abstracting information; data collection, manipulation and retrieval; reviewing and checking documents to ensure completeness and accuracy; meeting strict productivity standards; concentrating for long periods of time while dealing with distractions; reporting inconsistencies and discrepancies with established standards and guidelines; using 3M 360 or similar integrated encoder computer assisted coding systems; Webex; running queries; reviewing denials; preparing technical reports; paying attention to detail and accuracy; handling patient and organizational information in a confidential manner; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.

Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard equipment, sit and retain concentration for extended periods of time, vision to read printed materials and VDT screens, and hearing and speech to communicate effectively in-person and over the telephone. Strength and agility to exert up to 20 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

Benefits

The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package:

• Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"!
• Health/Dental/Vision Insurance - Less than $20 per paycheck for employee-only coverage
• Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (twelve scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc.
• Extended Illness Bank (a/k/a Sick Bank)
• 457 Deferred Compensation Plan
• Comprehensive Group Health Insurance Plan
• Nevada has no State Income Tax
• No Social Security (FICA) Deduction

THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER