Outpatient Medical Coder 3

Scope of Position
Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System.
ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process.

Position Summary
The position is responsible for coding medical records and other documents at the conclusion of the patients visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians.
Codes are selected in the Computer Assisted Coding/Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement.
This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.

Minimum Qualifications for hire or promotion

Minimum completion of a CAHIIM approved coding certificate program or HIMT program or equivalent education amp; experience.

Demonstrated coding proficiency through the completion of OSUWMCs coding test.

Familiarity or experience with computer assisted coding and/or automated encoder.

Required: Associates Degree in Health Information Management, and a minimum of 1 year outpatient coding experience (ICD10CM and CPT) for service types such as emergency, outpatient, ambulatory surgery, observation and series/clinics.
For promotion: ability to code at least four outpatient service types (ASU, observation, emergency, outpatient and series/clinics).
OR
Required: 3 years acute care academic medical center outpatient coding experience within an academic Health Information Management department for service types such as emergency, observation, outpatient, ASU and series/clinics.
For promotion: ability to code at least four outpatient service types (ASU, observation, emergency, outpatient and series/clinics).
AND
Required: Credentialed as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist by the American Health Information Management Association, or Certified Outpatient Coder (COC) by AAPC
Certification
RHIA, RHIT, CCS, or COC (outpatient credential only)

On Going:

Maintain continuing education requirements as determined by the American Health Information Management Association orAAPC. Review Coding Clinics, CPT assistant as frequently as needed for education purposes, and to ensure the official coding guidelines are followed.

The senior medical records coder attends monthly coding meetings and coding education sessions for updates on coding guidelines and related issues while maintaining a minimum score of 90% on coding assessments.