City/State

Work Shift

Overview:

Outpatient Coder Abstractor

Codes Outpatient Diagnostics Recurring and/or Emergency Department accounts. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for hospital reimbursement medical necessity mortality & morbidity outcomes governmental compliance coding research statistics and regulatory compliance. Under the direction of the Health Information Management Coding Manager accurately codes outpatient encounters diagnosis procedures and/or modifiers that are supported by the health record 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 and/or submits request to the physician for additional information or clarification of diagnoses co-morbid/secondary conditions and procedures.

Assures coding practices fall within established compliance guidelines. Performs other related duties as requested by HIM management.

6 months of outpatient coding preferred. Certified Coding Associate (CCA) also accepted. Knowledge of ICD-10-CM and CPT coding (or most current healthcare industry numerical coding system) procedures required. CCS CIC CPC COC or RHIT (Registered Health Information Technician) required within 1 year of hire. Successful completion of an AHIMA certified coding program preferred. Knowledge of anatomy & physiology - required

Education

• High School Graduate or equivalent

Certification/Licensure

• 6 months of outpatient coding preferred.
• Certified Coding Associate (CCA) also accepted.
• Knowledge of ICD-10-CM and CPT coding (or most current healthcare industry numerical coding system) procedures required.
• CCS CIC CPC COC or RHIT (Registered Health Information Technician) required within 1 year of hire.
• Successful completion of an AHIMA certified coding program preferred.
• Knowledge of anatomy & physiology - required Certification or License (Required)

Experience

• Previous Coding experience required
• High School grad or equvalent
• Certification due within one year of employment
• CCS CIC CPC COC or RHIT (Registered Health Information Technician) required within 1 year of hire.
• Successful completion of an AHIMA certified coding program preferred.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission to improve health every day this is a tobacco-free environment.

For positions that are available as remote work Sentara Health employs associates in the following states:

Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.