Outpatient Coder Intermediate Details

Outpatient Coder Intermediate

Nuvance Health - Poughkeepsie, NY

Employment Type : Full-Time

Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center, and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations.

TITLE: OUTPATIENT CODER - INTERMEDIATE

DEPARTMENT: HEALTH INFORMATION MANAGEMENT

REPORTS TO: CODING SUPERVISOR

SUMMARY:
Codes and abstracts all levels of outpatient medical records for reimbursement and statistical purposes using established coding guidelines.

Responsibility I

1.Codes all (OP) outpatient medical records (Same Day Surgery, ER, Infusions, IV Radiology, including Cardiac Cath and PCI) accurately, completely, and timely.

1.1Defines and transforms verbal descriptions of diseases, injuries, and procedures into numerical designations (codes) using ICD-9-CM and

CPT-4 according to established coding guidelines

1.2Initiates a physician query, when there is conflicting, incomplete, or ambiguous documentation in the record or additional information, is needed for accurate coding.

1.3Enters all required information accurately into the computer system for

reimbursement and statistical purposes

1.4Maintains performance standards:
PRODUCTIVITY METRIC

AMBULATORY SURGERY – 12 Minutes/Record (5 records per hour)

OBSERVATION – 15 Minutes/Record (4 records per hour)

ONCOLOGY, PEDIATRIC INFUSIONS – 5 Minutes/Record (12 records per hour)

DIAGNOSTIC OUTPATIENT coding & abstracting – 3 Minutes/record ( 20 records per hour

SPECIAL PROCEDURES (CARDIAC CATH, IRAD) – 15 Minutes/Record (4 records per hour)

ED – 5 Minutes/Record (12 records per hour)

ACCURACY METRIC

OUTPATIENT

APC/APR-DRG Accuracy – 95%

ICD-9-CM Diagnosis Code Accuracy – 96%

CPT Coding Accuracy – 90%

Modifier Accuracy – 90%

Responsibility II

2.Remains abreast of all applicable Federal, State, regulatory, and hospital-specific coding guidelines.

2.1

Applies applicable guidelines to all cases coded to ensure accuracy of selected codes

2.2

Accesses and research applicable reference materials to further support decision-making in code selection.

2.3

Attends required educational sessions.

2.4

Updates coding books in a timely manner.

2.5

Reads coding journals and other publications re: coding techniques.

Responsibility III

3.Participates in Performance Improvement/Quality Assurance activities.

3.1

Assists in coding area PT/QA activities

3.2

Reports on software and hardware problems.

Responsibility IV

4.Guest Relations: Demonstrates regard for the dignity and respect of all patients, family members, visitors, and medical center personnel as defined in the philosophy of Health Quest

4.1

Displays a caring and courteous attitude and represents Health Quest in a positive manner to all persons noted above.

4.2

Promotes and contributes positively to intra-departmental and inter-departmental relationships with no more than two complaints in a six-month period.

4.3

Maintains the confidentiality of employees and departmental information with no infractions.

4.4

Adheres to departmental and medical center dress codes as observed by a supervisor, and wears a hospital-specific picture identification badge, 100% of the time.

4.5

Demonstrates willingness to assist co-workers and/or to accept additional assignments as requested to support the department's efficiency as observed by the supervisor.

4.6

Responds to all supervisor's requests for information and assists in a timely and courteous manner.

4.7

Demonstrates a high level of mental and emotional tolerance and even temperament when dealing with people; uses tact, sensitivity, and sound judgment at all times.

JOB QUALIFICATIONS

Education

: High School Diploma, Knowledge of IDC9-CM/IDC10, CPT-4, Disease Pathology, Anatomy, Physiology, and Medical Terminology.

Experience

: Must have 3 to 7 years, 11 months outpatient coding experience. Working knowledge of encoders and must be computer literate.

License

: CPC, CPC-H, CCS, CCS-P, RHIA, or RHIT required.

License

: CPC, CPC-H, CCS, CCS-P, RHIA, or RHIT required.

Location:
Work Type: Full-Time

Standard Hours: 40.00

FTE: 1.000000

Work Schedule: Day 8

Work Shift: Day shift

Org Unit: 874

Department: Health Information Management

Exempt: No

EOE, including disability/vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.