Outpatient Coder - Orthopedics - Physician Practice

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The Outpatient Coder I is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network.

Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.

Responsibilities

• A day in the life of an Outpatient Coder I at Hackensack Meridian Health includes:
• Assigns codes to clinical services performed for use in reimbursement and data collection

Accountable for coding and abstracting of patient encounters, including diagnostic, surgical, and procedural information, significant reportable elements, and complications.

Assesses clinical documentation and communicates with physicians and advanced practice nurses for additional information when documentation for proper coding is missing or incomplete

• Analyzes medical records and identifies documentation deficiencies.
• Identifies reportable elements, complications, and other quality measures.
• Daily monitoring of WQ's for billing corrections.
• Assign CPT, HCPCS and ICD-10-CM codes.
• Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
• Maintains required productivity and quality requirements.
• Complies with HMH Organizational policies, procedures, and standards of behavior; maintains patient record Reports unusual circumstances, possible risk factors, errors, and discrepancies to management.
• Other duties and/or projects as assigned.

Qualifications

Education, Knowledge, Skills and Abilities Required

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Minimum of 1 year of coding for professional services
• Strong understanding of physiology, medical terms and anatomy.
• Proficiency in computer skills including typing speed and accuracy.
• Excellent written and verbal communication skills.
• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Must be able to achieve and maintain appropriate coding quality and productivity as established by HMH Compliance

Education, Knowledge, Skills and Abilities Preferred

Prior working experience with outpatient hospital ICD10 diagnosis, CPT procedural and E&M coding experience is desired

Licenses and Certifications Required

Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder.

Licenses and Certifications Preferred

An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

• Starting Minimum Rate
• Minimum rate of $35.17 Hourly

Job Posting Disclosure

HMH is committed to pay equity and transparency for our team members.

The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer.

Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate.

The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.

Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies.

Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.

Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate.

Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.