Outpatient Coder - Coding - FT Days

Job Summary:

Responsible for the assignment of ICD-10 CM and CPT codes to the record of patients treated at an Anderson Hospital or one of its entities.  These records can include Outpatient, Emergency Room, Outpatient Surgery and Oncology.

Service and Quality Standards:

1.  Service

Is Customer focused

Anticipates customer needs

Adheres to customer service standards

2.  People

Is conversation conscious

Assures confidentiality of patient and employee information

Is positive in interactions with others

Is courteous and respectful

Promotes a harassment free environment

                        Inspires the trust of others

Acts in accordance with hospital policies, meets the requirements of the Code of Conduct, and identifies any conflicts of interest. 

3. Quality

Is excellent in patient care and service

                Demonstrates multidisciplinary cooperation

                Assists in obtaining excellent satisfaction scores of feedback

Is safety conscious

                Demonstrates safety consciousness and supports safety initiatives

Is involved with improvement efforts

                Supports performance improvement

                Seeks ways to improve systems and services

                Shows commitment to improvement efforts

                Meets mandatory educational requirements

4.  Growth

Is a loyal ambassador

                Demonstrates commitment to hospital mission and vision

Is active and involved

                Supports hospital initiatives

                Champions innovation and supports change

Is a positive role model

                Fosters team cooperation

5.  Finance

Is a good steward of hospital resources

                Develops/uses efficient work methods

Is cost effective

                Conserves organizational resources

Job Responsibilities:

1. Reviews the medical record for selection of the principal and all secondary diagnosis and principal and all secondary procedures.
2. Works with the medical staff should there be any clarification needed regarding a complete and accurate medical record to support the code assignment.
3. Utilizes coding software to select the appropriate diagnosis and procedure code numbers. 
4. Maintains AHIMA Ethical code of Behavior.
5. Works with internal and external auditors
6. Participates in educational process, reading of support references and newsletters to keep abreast of coding changes. 
7. Works with other departments, especially clinical areas to maintain awareness of the impact of their work on the coding process.
8. Maintains coding quality and productivity per department standards.
9. Creates coding summary.
10. Works with the PI technician in the transfer of records required to accomplish all peer review activities.
11. Maintains knowledge of medical necessity as it pertains to their coding responsibility.
12. Maintains knowledge of state and federal regulation to assure accuracy of coding.

Education Requirements and Other Requirements:

                Education Level:  Associate Degree or higher.

                Certification/Licensure:  RHIT, RHIA, or CCS preferred.

                Experience Requirements:  Hospital experience using ICD-10 and CPT preferred.