Outpatient Coder I, Ambulatory - Physician Services - Hackensack Meridian Health

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The Outpatient Coder I 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 and Medicaid Services (CMS) directives across the 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. Experience with ortho oncology and sports medicine is strongly preferred. 

A day in the life of an Outpatient Coder I at Hackensack Meridian Health includes:

• Assigns codes to clinical services performed for use in reimbursement and data collection.
• Accountable for coding and abstracting of patient encounters, including diagnostic, surgical, and procedural information, significant reportable elements, and complications.
• Assesses clinical documentation and communicates with physicians and advanced practice nurses for additional information when documentation for proper coding is missing or incomplete.
• Analyzes medical records and identifies documentation deficiencies.
• Identifies reportable elements, complications, and other quality measures.
• Daily monitoring of WQ's for billing corrections.
• 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.
• Complies with HMH Organizational policies, procedures, and standards of behavior; maintains patient record Reports unusual circumstances, possible risk factors, errors, and discrepancies to management.
• Other duties and/or projects as assigned.

Education, Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Minimum of 1 year of coding for professional services.
• 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.
• Must be able to achieve and maintain appropriate coding quality and productivity as established by HMH Compliance Education.

Knowledge, Skills and Abilities Preferred:

• Prior working experience with outpatient hospital ICD10 diagnosis, CPT procedural and E&M coding experience is desired.

Licenses and Certifications Required:

• Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder.

Licenses and Certifications Preferred:

• An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!