Job Description The Clinic /Outpatient Coder III is an HIM professional working under the guidance and supervision of the HIM Outpatient APC and Clinic Coding Manager. Expected to be proficient in assigning ICD-10-CM and/or CPT codes for following types of services: Outpatient: Complex Surgeries, Observations (non-obstetric), Interventional radiology, radiation oncology and/or non-complex inpatient coding encounters.Clinic coder: Either proficient in coding for all non-surgery specialty areas, primary care, or complex surgeries.
Responsibilities- Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards.
- Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation.
- Communicates with providers, querying providers to ensure the highest level of specificity is provided in documentation.
- May provide education for providers.
- May assist in training of newly hired coders.
- Caregiver may work in conjunction with Patient Financial Services to verify and modify charges and coding to ensure accuracy of supporting documentation, payer rules and correct coding.
- Working reports for clean-up, auditing services, edits, and denials.
- Ensures data accuracy of State HIDI data by responding to edits received.
- Performs other duties as assigned.
Education - H.S. Diploma - Medical Terminology and Anatomy and Physiology - Required
- Must have coding education - Required
- Required
Work Experience - 5 Years - experience in a Health Information Services department performing a job that requires detail, familiarity with patient medical record - Required
Licenses and Certifications - Certified Coding Specialist (CCS) - Required within 180 Days Or
- Registered Health Information Administrator (RHIA) - Required within 180 Days Or
- Registered Health Information Technician (RHIT) - Required within 180 Days Or
- Certified Professional Coder (CPC) - Required within 180 Days Or
- Certified Outpatient Coder (COC) - Required within 180 Days
Travel Requirements - Travel to off-site locations may be required. - Required
Qualifications Skills and Abilities Essential Technical/Motor Skills
- Input and retrieve data, speaking clearly, precise hand\eye coordination, fine motor skills and good writing skills.
- Detailed knowledge of medical terminology, pathophysiology, coding guidelines.
Interpersonal Skills
- Must be courteous
- Work in a professional, caring manner with internal and external customers
- Have the ability to work with interruptions, and flexibility in hours and workflow, foster teamwork and promote service and quality in everything.
Essential Physical Requirements
- Regularly required to sit, reach with hands and arms, stand, walk, climb, balance, stoop, kneel, or crouch.
Essential Mental Abilities
- Must interpret data from chart, analyze encoder instructions, understand what physician is trying to convey and concentrate for long time periods.
Essential Sensory Requirements
- Must be able to visualize/interpret patient record.
Exposure to Hazards
Other Skills and Abilities
About Us Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.
Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.