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Job Summary
The Coder-Outpatient is responsible for the ICD-10-CM, ICD-10-PCS, CPT and modifier assignment of diagnosis and procedures of an outpatient visit.
Reports to:
Job Specific Responsibilities
Daily assignments may include but are not limited to:
• Assign and sequence diagnostic and procedural codes for patient care, utilizing ICD-10, CPT, and HCPCS coding systems.
• Ensure accurate and compliant coding of medical services and procedures based on clinical documentation.
• Review patient records and physician documentation to validate coding accuracy and completeness.
• Work collaboratively with healthcare providers and staff to clarify and address documentation discrepancies.
• Maintain knowledge of current coding guidelines, insurance regulations, and compliance standards.
• Assist in audits and reviews to ensure coding accuracy and adherence to billing requirements.
• Resolve coding errors and respond to coding-related inquiries.
• Protect patient confidentiality and adhere to HIPAA regulations.
Education and Experience-
• High School Diploma or GED
Required Licensures/Certifications/Registrations
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or an equivalent credential from an accredited organization
• Certification must be obtained within 90 days of hire into the role
Skills and Abilities-
• Proficiency in ICD-10, CPT, and HCPCS coding systems.
• Knowledge of medical terminology, anatomy, and physiology.
• Strong attention to detail and organizational skills.
• Ability to work independently and meet deadlines in a fast-paced environment.
• Excellent communication and problem-solving skills.
• Familiarity with electronic health record (EHR) systems and coding software.
Interaction with Other Departments and Other Relationships
Interacts with medical staff and ancillary areas in order to facilitate a quality multidisciplinary approach to patient care
Physical Capabilities
Work is mostly sedentary, but walking and standing frequently is required.
Environmental/Working Conditions
Position is indoors and not prone to hazardous materials but may experience constant changing indoor temperatures. Remote work available at supervisor’s discretion
UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
*Request for accommodations in the hire process should be directed to UMC Human Resources.*
