Job Details

HIM Outpatient Coder 2

Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.

HIM Outpatient Coder 2 is responsible for coding and abstracting outpatient medical records, including outpatient surgeries, GI procedures, and cardiac catheterizations. The Coder 2 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM/PCS.

Responsibilities

• Codes outpatient surgeries, including GI procedures and cardiac catheterization procedures using ICD-9 or CPT codes as appropriate.
• Maintains a yearly average accuracy rate of 94% during internal and/or external coding audits.
• Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted information is applied to the appropriate patient's encounter.
• While reviewing the record for coding purposes, serves as a quality reviewer and identifies any documents not belonging to the patient, or the correct patient's encounter.
• Ensures the accuracy when using the appropriate modifiers while coding outpatient's encounters.
• Assesses documentation and if necessary queries the physician for additional information when indicated to clarify a diagnosis, symptom, or any reason for services provided.
• Makes sure all codes are utilized to reflect the care rendered to the patient which in return will ensure patient safety, accuracy of data retrieval, and provides the organization with accurate reimbursement for the care provided to the patient.
• Evaluates to determine that data documented substantiates the diagnosis and treatment and is internally consistent as required by accreditation standards.
• Recognizes and reports unusual circumstances and/or information with possible risk factors to the Coding Associate Administrator or the Coding Director.
• Meets continuing education requirements established by American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) to maintain appropriate certification and competency in job skills and knowledge.
• Meets productivity standards according to AHIMA Guidelines depending on outpatient record type. Is actively involved in all ICD-10-CM/PCS education sessions provided by Jackson Health Systems.
• Shows competency according to education received.

Qualifications

• Generally requires 3 to 5 years of related experience.
• At least three years of prior outpatient coding in an inpatient hospital is highly preferred.
• High School diploma is required.
• Employee hired after June, 2015 must be credentialed with an HIM/Coding Credential and/or Certification by AHIMA or AAPC. AHIMA ICD10-CM-PCS Trainer preferred.

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, or any other status protected by law.