Peak Health Solutions is seeking a Certified Coder 2, Out-Patient for its Coding and Documentation department. This position is responsible for coding hospital or professional medical records for the purpose of reimbursement, research and compliance with federal regulations according to official guidelines using the ICD-10-CM classification system and CPT.
Peak Health Solutions, an AMN Healthcare company, is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female applicants to apply
This position requires a minimum formal education of High School Diploma and minimum of three year job-related experience
CPC, or CPC-A, or COC. For Professional coders CPC and Specialty Certification.
Course work in Anatomy and Physiology. Knowledge of E/M coding. MS Word and MS Excel.
Specialized training in medical terminology, ICD-10-CM/ICD-10-CM, CPT procedure and E/M coding.
Able to decipher operative reports, medical orders & various medical records in the appropriate selection of codes.
Experience in acute care coding with out-patient records and/or professional medical records.
For hospital coders: experience in acute care coding with out-patient records.
Criteria Desired (Not Required):
Course work in Anatomy and Physiology. Knowledge of E/M coding. Data entry required. Customer
Analyzes and reviews records for the diagnoses and procedures which affect the current service dates. Abstracts information into computer system for statistical and billing needs.
Responsible for assigning precise diagnostic and procedural codes to inpatient, outpatient or professional encounters utilizing the ICD-10-CM coding classification system as well as CPT following the code of ethics and published coding guidelines.
Reviews and analyzes the record to ensure accurate coding. Applies codes to all diagnosis(es) and procedure(s), which affect the current hospital/provider encounter. Ensures all codes assigned are substantiated by documentation in the medical record. Contacts physicians or other health care professionals to clarify diagnosis related information as needed.
Abstracts from the record prescribed pieces of data, verifies, corrects and/or makes additions to the database for both clinical and demographic information in accordance with established department procedure.
Ensures all work for the month is coded. Follows through on any missing documentation that requires coding. Retrieves records for coding purposes and may assist with their analysis.
Ensures that quality and productivity standards are met and that all functions within the coding section remain current.
Trains, advises, and provides technical guidance to lower level staff on the correct use of codes.
Attends coding educational sessions as requested. Provides coding staff with updates from educational sessions attended.
Fulfills all compliance responsibilities related to the position.
The Professional coder must independently charges and codes for at least 2 different departments in the same division.
Basic interventional procedures are in scope of this position (basic cauterization or biopsy coding). Translates narrative information into ICD10- CM and CPT4 codes.
The Hospital coder must independently code and charge at least two out patient services.
Performs other duties as assigned.