MedStar Health

Not-for-profit health system delivering patient care

Outpatient Coding Specialist 1 - Ambulatory Surgical Unit

Clinical Support & Patient AdministrationPosted on Nov 9

Full-timeUnited States$23.65 - $42.03 /hrIn-person

About the Job

Requirements

A high school diploma or GED is required.
Courses in medical terminology, anatomy and physiology, and ICD-CM are required.
A CPC (Certified Professional Coder), CCA (Certified Coding Associate), or other coding certification credential is required within one year.
Basic computer skills are required.
Coding experience and experience with clinical information systems, including Solventum grouper, electronic medical records, and computer-assisted coding, are preferred.
CPT-4 is preferred.
RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) certification is preferred.
Verbal and written communication skills are required.
Analytical and organizational skills, workload prioritization, and the ability to meet deadlines are required.

Responsibilities

Analyze and interpret clinical documentation to code and abstract Emergency Department, Observation, beginning-level Ambulatory Surgery, and other outpatient records for all MedStar entities in accordance with ICD-10-CM/PCS, CPT, and other applicable coding classification schemes.
Abstract and ensure the accuracy of diagnoses, procedures, patient demographics, and other required data elements.
Adhere to compliance regulations and maintain annual compliance education.
Maintain continuing education, seek ongoing education to improve job performance, and maintain credentials as required for the job classification.
Contact physicians when conflicting or ambiguous information appears in the medical record, following the MedStar Coding Query Policy and procedure.
Meet or exceed established quality and productivity standards.
Resolve quality reviews promptly, including medical necessity reviews, coding quality assurance reviews, and external vendor reviews.
Review medical record documentation to identify diagnoses and procedures; assign correct diagnostic and procedural codes and appropriate modifiers using standard guidelines and automated encoding software while maintaining departmental accuracy standards.
Use the Solventum system and other work-related equipment.

Desired Qualifications

An associate's degree in coding or a bachelor's degree in a coding-related field is preferred.

About the Job

MedStar Health's Outpatient Ambulatory/Same Day Surgery Coding Team is looking for an experienced Coding Specialist I to join our team!

The Outpatient Coding Specialist I analyzes and interprets clinical documentation to accurately code and abstract either Emergency Department, Observation or beginning level Ambulatory Surgery and other outpatient records for all MedStar entities in accordance with established ICD-10-CM/PCS CPT and other applicable coding classification schemes.

Primary Duties and Responsibilities

Abstracts and ensures accuracy of diagnoses, procedure, patient demographics and other required data elements.
Adheres to all compliance regulations and maintains annual compliance education.
Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.
Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.
Consistently meets or exceeds established Quality standards as defined by policies.
Consistently meets or exceeds established Productivity standards as defined by policies.
Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).
Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic procedural codes and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.
Exhibits knowledge of the Solventum system and other work-related equipment.

Minimal Qualifications
Education

High School Diploma or GED required
Associate's degree in coding or Bachelor's degree in coding related preferred
Courses in Medical Terminology Anatomy & Physiology ICD-CM required
CPT-4 preferred

Experience

Coding experience and experience with clinical information systems (Solventum grouper electronic medical records computer assisted coding) preferred

Licenses and Certifications

CPC (Certified Professional Coder), CCA (Certified Coding Associate) or other coding certification credentials within 1 Year required
RHIT (Registered Health Information Technician) and RHIA (Registered Health Information Administrator) preferred

Knowledge Skills and Abilities

Verbal and written communication skills.
Basic computer skills required.
Strong analytical and organizational skills; ability to prioritize workloads and meet deadlines.

This position has a hiring range of

USD $23.65 - USD $42.03 /Hr.

About the Company

MedStar Health

Not-for-profit health system delivering patient care

MedStar Health is a not-for-profit health system serving Maryland and the Washington, D.C. region, with hospitals, ambulatory and urgent care centers, and a health research institute. It delivers medical care through a network of facilities and care teams, supported by ongoing education and research to inform everyday practice. It stands out through its Georgetown University academic partnership, large regional network, and emphasis on patient experience, education, and research. Its goal is to improve regional health by providing high-quality medical care and advancing medicine through education and clinical excellence.

Company size: 10,001+
Company stage: Grant
Total funding: $29M
Headquarters: Columbia, MD
Founded: 1999

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