HIM Outpatient Ambulatory Coder
This is a requisition for the HIM Coding Pool - these positions will be off-site - these candidates will be required to take and pass the HIM outpatient / ambulatory coder test with a 75% or better. Perform reporting as well as those guidelines outlined by CPT, CPT Assistant, CMS, UHDDS, JCAHO, NCQA, and OSHPD with regional and local policies. Medical Record Peer Review: Participates in quality improvement for coding, abstracting, and/or APC assignments. Completion of Medical Records: Under general supervision, interact with physicians to clarify and promote accurate documentation of patient diagnostic and procedural information. Enter patient information into the computerized outpatient medical record databases, ensuring the accuracy and integrity of the medical record abstract or encounter data prior to transmitting case. Ensure timely record completion by meeting coding and abstracting productivity/quality standards. Participate in medical record documentation auditing to monitor physician compliance with Regulatory Requirements to include Physician Review Project in concert with appropriate managers. You may provide physician review and education based on review findings. Quality Standards Measured bi-weekly and reported in 4-week increments: Average weekly between 85-90 simple HOV charts per day. Average weekly 85-90 ED charts / day. You must average weekly between 35-45 Ambulatory Surgeries and complex HOV charts/day average weekly between 10 12. Edit Correction charts / hours, based on audits of 20 or more charts per year: 95% DRG/APCs 95% principal diagnosis 98% discharge disposition. Productivity Standards during the first six (6) months of tracking these productivity numbers, these numbers will be used to provide educational opportunities for the Coders. Work with the Confidentiality/Security of Systems. Maintain and comply with policies and procedures for confidentiality of all patient records. Minimum Qualifications: Must have completed an accredited coding program or have at minimum one year of continuous coding/abstracting experience within the last five years .A passing score of 75% on the client coding test for an Outpatient / Ambulatory Coder. Successfully passing the coding test is required regardless of experience. Demonstrated knowledge of anatomy and physiology, medical terminology, disease processes, basic knowledge of reimbursement methodologies (DRGs, APCs) and conventions, rules, guidelines for current coding classifications (ICD-9-CM, CPT, HCPCS Level II).Demonstrated ability to understand the clinical contents of a health record. Demonstrated ability to communicate with physicians in order to clarify diagnoses/procedures and properly sequence them for coding. You must be able to meet quantity and quality standards. You must maintain minimum CE hours. You must maintain a minimum of ten (10) CE hours annually, and you must maintain current coding credentials. Demonstrate knowledge of security of systems by not sharing computer logons.
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