Coding Spec I Outpt

POSTED ON 7/19/2022 CLOSED ON 12/6/2022
MedStar Health Hired Organization Address Baltimore, MD Full Time
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Job Posting for Coding Spec I Outpt at MedStar Health

  • Job Summary
    • Codes and abstracts primarily Emergency Department and other outpatient records using ICD-10-CM, andother applicable patient classification schemes. May also perform beginning level of AmbulatorySurgery
  • Minimum Qualifications
    • Education/Training
      • High school graduation or equivalent required. Associates or Bachelors in coding related degree preferred.  Coding courses in ICD-10-CM and CPT-4 preferred.
    • Experience
      • Coding experience preferred.  Experience with clinical information systems (3M grouper, Softmed, electronic medicalrecords, computer assisted coding)preferred.
    • License/Certification/Registration
      • CPC (Certified Professional Coder), CCA (Certified Coding Associate) or other coding certification credentials are required within 1 year from date of hire. RHIT (Registered Health Information Technician) and RHIA (Registered Health Information Administrator) preferred.
    • Knowledge, Skills & Abilities
      • Verbal and written communication skills. Basic computer skills required. Knowledge of medicalterminology, anatomy, physiology.
  • Primary Duties and Responsibilities
    • Abstracts and ensures accuracy of diagnosis, procedure, patient demographics, and other required data elements.
    • Adheres to all compliance regulations and maintains annual compliance education.
    • Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.
    • Contacts physician when conflicting or ambiguous information appears in the medical record.
    • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
    • Meets established quality standards as defined by policies.
    • Meets established productivity standards as defined by policies.
    • Exhibits knowledge of the 3M system and other work-related equipment.
    • Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
    • Participates in multi-disciplinary quality and service improvement teams.
    • Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).
    • Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic, procedural codes, and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.
    • Performs other duties as assigned.

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