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CODING SPECIALIST - OUTPATIENT (Medical Group) Job Opening In Prince Frederick – Now Hiring Calvert Health System


Job description

JOB DESCRIPTION DETAILS

  • Reports to: HIM Coding Manager
  • Job Summary: Codes and abstracts outpatient medical records in accordance with established coding conventions and guidelines.

  • Education: Associate's or Bachelor's degree in Health Information Management (HIM) or Coding, preferred.

    Position requires formal working knowledge equivalent to a two or four year degree in HIM or Coding.

  • Registration/Certification/Licensure: AHIMA Certifications (RHIA, RHIT, CCS, CCS-P) AAPC Certifications (CPC, CPC-H)
  • Experience: 1 year of medical coding experience in a clinical, hospital, or physician office setting Possess a strong grasp of: Ambulatory Payment Classifications (APC's), all Patient Refined Diagnosis Related Groups (APR-DRGs) - Maryland, andPotentially Preventable Complications (PPCs)/Maryland Hospital Acquired Conditions (MHACS) experience, required.

    Familiarity with Meditech and 3M Coding and Reimbursement System, preferred.

    360 Encompass experience, a plus.

  • Other Requirements: Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements.

    Comprehensive knowledge of Pathophysiology, disease processes, Pharmacology and Medical Terminology.

    Ability to effectively communicate with clinical and non-clinical staff, both verbally and in writing.

    Knowledge of HIM workflow.

    Ability to complete and submit physician queries as appropriate.

    Effectively communicates with clinical and non-clinical staff, both verbally and in writing, by implementing organization-wide communication techniques as a daily practice.

    Demonstrated proficiency of computer skills necessary to effectively complete position requirements.

    Ability to work independently and prioritize tasks producing quality work that is timely.

  • FLSA Status: Non-Exempt
  • Populations Served/Patient Care Responsibilities All age populations
  • TECHNICAL COMPETENCIES
  • Principle Duties and Responsibilities: Reviews clinical documentation and diagnostic results to accurately extract data and assign appropriate ICD-10-CM/CPT codes for billing internal and external reporting, research and regulatory compliance.

    Accurately assigns codes utilizing ICD-10-CM and CPT codes for inpatient and outpatient records as documented in the ICD-10-CM Official Guidelines for Coding and Reporting.

    Assigns principal and secondary diagnosis and procedure codes using the computer system and encoder.

    Works with the Clinical Documentation Analyst to assist in the development and improvement in the Clinical Documentation Improvement program (inpatient).

    Contacts physicians when recognizing when further documentation clarification is needed for accurate coding and appropriately queries the physician.

    Abstracts required data elements as instructed.

    Establishes and maintains an outpatient coding accuracy rate of 95% or greater.

    Establishes and maintains an outpatient coding production rate of 90% or greater.

    Ensures HIPAA compliance at all times.

    Abides by the standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA).

    Attends coding specific hospital meetings with the Director of HIM and/or the Coding Manager.

  • Additional Information: CalvertHealth (CH) offers all employees free parking, discounted meals, 403(b) Plan with employer match available and access to our Employee Assistance Program.

    Required Skill Profession

    Healthcare Diagnosing Or Treating Practitioners


    • Job Details

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