Outpatient Coder 2

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The HIM department has an exciting opportunity for a full-time Outpatient Coder 2. Under the general direction of the Outpatient Coding Manager, the Outpatient Coder 2 (H) reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and CPT procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all encounter-specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes.

CORE JOB FUNCTIONS

• Reviews, analyzes, and interprets the entire electronic medical record (EMR) to identify all diagnoses and procedures documented during a patient’s admission.
• Determines and assigns the principal diagnosis and all significant secondary ICD-10-CM diagnosis codes, in addition to Present on Admission (POA) indicators and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, medical terminology, and disease processes.
• Reviews documentation and reaches out to physicians for additional information when information for proper coding is missing or incomplete.  
• Assigns codes to outpatient records for use in reimbursement and data collection. 
• Complies with policies and procedures and maintains confidential patient records. 
• Reports unusual circumstances, risk factors, errors, and discrepancies to management. 
• Maintains coding accuracy and productivity standards of ≥ 95%.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

• High School diploma or equivalent and graduation from an accredited Health Information Technology or Coding program
• Certified Coding Associate (CCA), Certified Professional Coder (CPC; CPC-A), Certified Coding Specialist (CCS), and/or Registered Health Information Technician (RHIT)
• Minimum 3 years of current ICD-10 and CPT Outpatient coding experience required. 

Department Specific Functions

• Sign into Microsoft Teams for quick and easy communication between management, supervisor, and colleagues.
• Review Priority work queue each morning to rectify any accounts that have been returned due to missing documentation, physician query response, ADT correction. Daily review of OP Claim edit.
• Able to code Infusion, Emergency Medicine accounts and wound care Mandatory daily review and reconciliation of any pending audit reviews.
• Code any high dollar accounts that have been assigned by the coding supervisor or manager.
• Check email often for any correspondence coming from OP coding supervisor/manager, CDI, IT,CBO Attend all scheduled one on one meetings and/or team meetings.
• Participate in team provided education sessions as well as any AHIMA/AAPC approved continuing education courses to maintain credentials.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:

Full time

Employee Type:

Staff

Pay Grade:

H8