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Outpatient Coder IV
Hackensack Meridian Health • Remote • Posted 30+ days ago
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Remote • Full-time • Senior Level
Job Highlights
Using AI ⚡ to summarize the original job post
The Outpatient Coder IV at Hackensack Meridian Health is responsible for accurately abstracting data and assigning codes following various guidelines and directives, including ICD-10-CM, CPT, HCPCS, and CMS directives. This role involves data entry, querying physicians for clarification, and ensuring compliance with coding and regulatory requirements across the HMH network. It is a remote position that requires a high school diploma or equivalent, a minimum of 4 years of coding experience, and certification in AHIMA or AAPC within 6 months of hire.
Responsibilities
- Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.
- Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
- Analyzes medical records and identifies documentation deficiencies.
- Reviews and verifies documentation supports existing diagnoses, procedures and other charges.
- Identifies reportable elements, complications, and other quality measures.
- Communicates with physicians to clarify information via the physician query process
- Assign CPT, HCPCS and ICD-10-CM codes.
- Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
- Maintains required productivity and quality requirements.
- Other duties and/or projects as assigned.
- Adheres to HMH Organizational competencies and standards of behavior.
Qualifications
Required
- High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
- Minimum of 4+ years of coding experience, Trauma Level 1 and Academic Teaching facility.
- Strong understanding of physiology, medical terms and anatomy.
- Proficiency in computer skills including typing speed and accuracy.
- Excellent written and verbal communication skills.
- Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
- Proficient in coding Ancillary Accounts such as Diagnostic Radiology and Cardiology
- Proficient in coding Emergency Department and Infusion based services such as Oncology.
- Proficient in coding Observation and Procedure Room such as Endoscopies and Cardiac Cath.
- Proficient in coding all outpatient services especially Operating Room procedures.
- Certified in at least one of the following at hire or must obtain within 6 months of hire/transfer into position: American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).
Full Job Description
**Overview**
At **Hackensack Meridian** **_Health_** we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The **Outpatient Coder IV** is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare & Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.
**This is a remote position.**
**Responsibilities**
A day in the life of a **Outpatient Coder IV** at **Hackensack Meridian** **_Health_** includes:
+ Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.
+ Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
+ Analyzes medical records and identifies documentation deficiencies.
+ Reviews and verifies documentation supports existing diagnoses, procedures and other charges.
+ Identifies reportable elements, complications, and other quality measures.
+ Communicates with physicians to clarify information via the physician query process
+ Assign CPT, HCPCS and ICD-10-CM codes.
+ Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
+ Maintains required productivity and quality requirements.
+ Other duties and/or projects as assigned.
+ Adheres to HMH Organizational competencies and standards of behavior.
**Qualifications**
**Education, Knowledge, Skills and Abilities Required:**
+ High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
+ Minimum of 4+ years of coding experience, Trauma Level 1 and Academic Teaching facility.
+ Strong understanding of physiology, medical terms and anatomy.
+ Proficiency in computer skills including typing speed and accuracy.
+ Excellent written and verbal communication skills.
+ Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
+ Proficient in coding Ancillary Accounts such as Diagnostic Radiology and Cardiology
+ Proficient in coding Emergency Department and Infusion based services such as Oncology.
+ Proficient in coding Observation and Procedure Room such as Endoscopies and Cardiac Cath.
+ Proficient in coding all outpatient services especially Operating Room procedures.
**Licenses and Certifications Required:**
+ Certified in at least one of the following at hire or must obtain within 6 months of hire/transfer into position: American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC)
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
**Job ID** _2024-150261_
**Department** _HIM Outpatient Coding_
**Site** _HMH Hospitals Corporation_
**Job Location** _US-NJ-Hackensack_
**Position Type** _Full Time with Benefits_
**Standard Hours Per Week** _40_
**Shift** _Day_
**Shift Hours** _Day_
**Weekend Work** _Every Other Weekend_
**On Call Work** _No On-Call Required_
**Holiday Work** _As Needed_
At **Hackensack Meridian** **_Health_** we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The **Outpatient Coder IV** is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare & Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.
**This is a remote position.**
**Responsibilities**
A day in the life of a **Outpatient Coder IV** at **Hackensack Meridian** **_Health_** includes:
+ Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.
+ Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
+ Analyzes medical records and identifies documentation deficiencies.
+ Reviews and verifies documentation supports existing diagnoses, procedures and other charges.
+ Identifies reportable elements, complications, and other quality measures.
+ Communicates with physicians to clarify information via the physician query process
+ Assign CPT, HCPCS and ICD-10-CM codes.
+ Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
+ Maintains required productivity and quality requirements.
+ Other duties and/or projects as assigned.
+ Adheres to HMH Organizational competencies and standards of behavior.
**Qualifications**
**Education, Knowledge, Skills and Abilities Required:**
+ High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
+ Minimum of 4+ years of coding experience, Trauma Level 1 and Academic Teaching facility.
+ Strong understanding of physiology, medical terms and anatomy.
+ Proficiency in computer skills including typing speed and accuracy.
+ Excellent written and verbal communication skills.
+ Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
+ Proficient in coding Ancillary Accounts such as Diagnostic Radiology and Cardiology
+ Proficient in coding Emergency Department and Infusion based services such as Oncology.
+ Proficient in coding Observation and Procedure Room such as Endoscopies and Cardiac Cath.
+ Proficient in coding all outpatient services especially Operating Room procedures.
**Licenses and Certifications Required:**
+ Certified in at least one of the following at hire or must obtain within 6 months of hire/transfer into position: American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC)
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
**Job ID** _2024-150261_
**Department** _HIM Outpatient Coding_
**Site** _HMH Hospitals Corporation_
**Job Location** _US-NJ-Hackensack_
**Position Type** _Full Time with Benefits_
**Standard Hours Per Week** _40_
**Shift** _Day_
**Shift Hours** _Day_
**Weekend Work** _Every Other Weekend_
**On Call Work** _No On-Call Required_
**Holiday Work** _As Needed_
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