This position may be performed remotely from the following locations within the United States of America: Arkansas, Colorado, Florida, Georgia, Indiana, Kansas, Louisiana, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, and Wisconsin.

General Description:

Reviews and evaluates hospital outpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and HCPCS/CPT codes. Performs coding and/or code validation across OUH. Applies all appropriate coding guidelines and criteria for code selections. Adheres to Company policies and procedures for the assignment of complete, accurate, timely, and consistent codes for diagnoses and procedures.

Essential Responsibilities:

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.

• Using, ICD-10-CM and/or HCPCS/CPT, primarily assigns, validates, and/or edits codes the following patient types:
  • Emergency Room (ED)
  • Recurring (RCR)
  • Clinical (CLI) records

• Assigns, validates, and/or edits procedure categories and modifiers (when applicable)
• Maintains or exceeds established productivity standards
• Maintains or exceeds established accuracy standards
• Initiates, validates, and/or edits physician queries in compliance with Company policy where appropriate
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
• Utilizes the complete medical record documentation in code assignment, validation, and/or editing of codes
• Follows all applicable coding guidance in assigning, sequencing, validation, and/or editing of codes
• Meets all educational requirements as stated in current Company policy
• Initiates, validates, and/or edits physician queries in compliance with Company policy when appropriate
• Practices and adheres to the "Code of Conduct" philosophy and "Mission and Value Statement"

General Responsibilities:

• Performs other duties as assigned

Minimum Qualifications:

Education: High School graduate or GED equivalent required, undergraduate (associates or bachelors) degree in HIM/HIT preferred.

Experience: One (1) year acute care outpatient coding experience required with 3 years healthcare experience strongly preferred. An equivalent amount of education or experience may be substituted for minimum experience requirement

License(s)/Certification(s)/Registration(s) Required: RHIA, RHIT, CCS, CCA, or CPC preferred.

Knowledge, Skills and Abilities:

• Coding Technical Skills- ICD-10-CM, HCPCS/CPT-4, and APCs.
• Analytical Skills - effective evaluation, synthesis and use of information gathered.
• Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task.
• Communication - communicates clearly and concisely.
• Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
• Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems.
• PC Skills - demonstrates proficiency in Microsoft Office applications and others as required.
• Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
• Work Independently - is self-supporting; not needing to rely on others to complete a job.