Coder, Outpatient in Providence, Rhode Island at CharterCARE Health Partners

Summary: Under the general supervision of the Coding Manager and according to established procedures, accountable for assignment of diagnoses and procedures for outpatient surgical and other services. Interprets clinical and diagnostic documentation and assigns appropriate ICD-10 (current edition) and / or CPT codes as well as modifiers, ED facility levels, Infusions/Injections and other charges as appropriate adhering to official coding guidelines. Requires knowledge of hospital coding, ambulatory classifications and coding guidelines. Abstracts required data into hospital information system. Ensure records are coded in an accurate and timely manner.

Education: High School diploma or equivalent required.

Licensure: Medical coding certification and training in medical terminology from an accredited program preferred. Recognized programs include: American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). Must complete and pass certification program within one year from date of hire. Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P) preferred

Experience: Two years of hospital outpatient coding experience or related work experience preferred. Thorough knowledge of ICD CM (current edition and CPT coding as well as CCI edits. Thorough knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices. Must be a self-starter and have the ability to work in a deadline oriented environment. Working knowledge of computerized abstracting systems and automated encoding systems. Strong knowledge of medical terminology, anatomy and physiology. Proficient with Microsoft applications, encoder, Meditech preferred.

Working Conditions, Physical Environment and/or Safety Requirements: Office or suitable home-office environment. Requires long periods of visually examining documents and viewing computer screens. Monday – Friday but could include weekends/holidays if deemed necessary. Option to perform coding remotely, with the signing of a telecommuting agreement.