Outpatient Medical Coder

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

As an Outpatient Medical Coder, you will engage in comprehensive reviews of medical records to extract important medical and demographic data. You will apply your knowledge of ICD and CPT coding systems to accurately interpret diagnoses and procedures, positively impacting our accounts receivable efficiency.

ESSENTIAL RESPONSIBILITIES

• Thoroughly review and interpret medical information, including physician treatment plans and outcomes, to determine the correct ICD-10 CM/CPT codes for diagnoses and procedures. (65%)

• Abstract and input data elements to fulfill statistical requests from hospitals, health systems, and medical staff. (15%)

• Manage medical information and ensure effective cash flow concerning unbilled coding reports. (10%)

• Stay updated on ICD-10 CM/CPT guidelines through training, coding clinics, and other resources, and implement these updates in your daily work. (5%)

• Perform other relevant duties as assigned. (5%)

QUALIFICATIONS:

Minimum

• High School/GED

• Successful completion of coding courses covering anatomy, physiology, and medical terminology

• 1 year of experience in Hospital and/or Physician Coding

• 1 year of coding experience at mid-level facilities or clinics

• 1 year of coding experience for major surgeries, observations, and E/Ms

• Knowledge of Medical Terminology

• Strong data entry skills

• Proficient understanding of computer applications

• Ability to collaborate effectively with healthcare team members

• Certification options include:

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

Preferred

• Associate's Degree in Health Information Management or a related field

Disclaimer: This job description aims to provide a general overview of the duties and responsibilities of this position. It may not encompass all tasks and qualifications required.

Compliance Requirement: This role adheres to ethical and legal standards as outlined in our codes of conduct and company policies.

Employees may access confidential information requiring strict compliance with the Health Insurance Portability and Accountability Act (HIPAA) along with company privacy policies.

Adherence to the company's Code of Business Conduct and applicable laws and regulations is expected from every employee.

Pay Range Minimum:

$21.32

Pay Range Maximum:

$33.05

Base pay is influenced by various factors, such as qualifications, experience, and expected contributions.

Highmark Health prohibits discrimination against qualified individuals based on their veteran status or disabilities and adheres to all protected categories as per relevant laws.

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For accommodation requests, please contact HR Services Online.

Req ID: J276814