OUTPT CODING SPECIALIST

Location
Hampton, VA:Norfolk, VA:Newport News, VA
Posted
May 26, 2017
Closes
Jun 29, 2017
Function
Nurse
Industry
Healthcare
Hours
Full Time
Job Description:
Sentara Healthcare is seeking a full-time Outpatient Coding Specialist to work based out of our HIS-Landstown location in Virginia Beach. Position would offer potential for remote work once successful completion of training at our physical location. careerconnection

Codes ambulatory surgery and outpatient IVR accounts. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM, CPT-4, HCPCS and modifier codes for hospital reimbursement, medical necessity, mortality & morbidity outcomes, research, statistical information and regulatory compliance. Under the direction of the Health Information Management Coding Operations Manager, accurately codes ambulatory surgery and outpatient IVR encounters diagnosis and procedures supported by the health record documentation in accordance with ICD-10-CM Official Coding Guidelines for Coding and Reporting. Abstracts, codes and assigns necessary demographic and clinical data elements required for outpatient records. Effectively utilizes encoder software to ensure appropriate reimbursement and accurate APC assignment. Completes all work in accordance with defined productivity and quality standards. As necessary queries physician for additional information or clarification of diagnoses, co-morbid/secondary conditions, and procedures. Assures optimal ethical reimbursement for coded encounters and assures coding practices fall within established compliance guidelines. Performs other related duties as requested by HIM management.

Education Level
High School Grad or Equivalent

Experience
Required: Coding - 1 year

Preferred: None, unless noted in the “Other” section below

License
None, unless noted in the “Other” section below

Skills
None, unless noted in the “Other” section below

Other
Certified Professional Coder (CPC), Certified Interventional Radiology Cardiovascular Coder (CIRCC) or Certified Coding Specialist (CCS) required. Knowledge of medical terminology and anatomy & physiology required.