Coding Specialist II Facility Outpatient (Ambulatory Surgery)

MEDSTAR HEALTH
Columbia, Maryland
Full Time

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General Summary of Position

MedStar Health is seeking an experienced Ambulatory Surgery Center Medical Coder to join our team! The qualified candidate must have at least 2 years of related coding experience with a coding certification.

MedStar Health provides the latest technology including our EMR Cerner MedConnect, 3MHDM and 3m360 computer-assisted coding software.

The selected candidates will enjoy a full time, Monday Friday, dayshift REMOTE schedule.

Job Summary - Codes and abstracts primarily Ambulatory Surgery records and other outpatient records using ICD-10-CM, and other applicable patient classification schemes.

#LIREMOTE

Primary Duties and Responsibilities

Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.

Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.

Adhere to all compliance regulations and maintains annual compliance education.

Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.

Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.

Meets established Quality standards as defined by policies.

Meets established Productivity standards as defined by policies.

Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).

Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic, procedural codes, and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.

Exhibits knowledge of the 3M system and other work-related equipment.

Minimum Qualifications
Education

High School Diploma or GED equivalent required and
Associate degree or Bachelor's degree in coding related degree preferred
Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and CPT-4 required

Experience

2 years ASU (Ambulatory Surgery) coding experience and experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) required

Licenses and Certifications

CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist-Physician-based) required or COC (Certified Outpatient Coder) required
RHIT (Registered Health Information Technician) and/or RHIA (Registered Health Information Administrator) preferred

Knowledge, Skills, and Abilities