Coder In/Outpatient
About the position The Coder In/Outpatient is responsible for reviewing medical records and performing coding on all diagnoses, procedures, DRG/APC, and charge codes for both inpatient and outpatient cases in an acute care facility. This role requires expertise in coding for various specialties, including cardiology, neurology, spinal, orthopedics, general medicine, and general surgery. The coder must ensure accurate coding for reimbursement purposes while maintaining patient confidentiality and compliance with regulations. Responsibilities • Abstract, code, sequence, and interpret clinical information from various medical records including inpatient, outpatient, emergency department, and pro fee records. • Assign correct principal and secondary diagnoses and procedure codes with attention to accurate sequencing. • Utilize technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes. • Abstract and code pertinent medical data into multiple software programs and encoders, following official coding guidelines. • Maintain compliance with external regulatory and accreditation requirements, as well as State and Federal regulations. • Extract pertinent data from patient health records and determine appropriate coding for reports and billing documents. • Identify codes for reporting medical services and procedures performed by physicians, entering codes into various computer systems as required. • Track and document productivity in specified systems, maintaining productivity levels as defined by the client. • Maintain a 95% quality rating in coding accuracy. • Perform duties in compliance with company policies and procedures, including HIPAA compliance. Requirements • 2+ years of experience coding inpatient medical and surgical cases. • Experience in reviewing surgical CPTs and validating them. • 2+ years of experience coding outpatient ancillary cases (labs, radiology, recurring). • 2+ years of experience coding labor and delivery cases in a hospital-based clinic. • Proficiency in Epic and 3M software. • Good verbal and written communication skills. • Ability to achieve 5 CPH productivity within 4 weeks and maintain thereafter. • Ability to maintain 95% coding accuracy. Benefits • Remote work environment • Flexible scheduling options • Full-time position with standard working hours Apply tot his job