HOSPITAL OUTPATIENT CODER
Moffitt Cancer Center, Tampa, FL, United States
Hospital Outpatient Coder Senior reviews, analyzes and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinical Modification (ICD‑10‑CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS). The position promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. It ensures compliance with established coding guidelines, federal regulations, and accreditation guidelines.
Hospital Outpatient Coder Senior is expected to function as a subject matter expert, assist less experienced team members on operational policies, train and onboard new team members, and participate in special projects assigned by the Mid Revenue Cycle leadership.
Responsibilities
Determine proper codes and modifiers for all billable services utilizing ICD‑10‑CM, CPT, and HCPCS code sets in accordance with coding compliant guidelines, federal regulations, and accreditation guidelines.
Analyze and review medical record documentation for the purpose of assigning diagnosis and CPT codes to insurance payers.
Code 100% of medical records/encounters for each assigned clinic or encounter type, following quality and productivity standards outlined in the KPI operational guidelines.
Utilize time‑management skills to ensure all codes are entered and coding edits are handled prior to month‑end.
Alert Manager or Director of HIM when coding problems or issues prevent accurate and timely coding.
Perform query processes to clarify and confirm clinic documentation.
Maintain credentials and certifications to stay current with coding of ICD‑10‑CM and CPT codes and skills needed to accurately abstract and code medical records.
Participate in special projects assigned by Mid Revenue Cycle leadership.
Serve as a subject‑matter expert, assist teammates, train and onboard new members.
Complete all other duties as assigned.
Credentials and Education
High School Diploma or GED.
Four (4) years of health‑care outpatient coding experience with ICD‑10‑CM, CPT, and HCPCS classification systems for more than one outpatient specialty.
Certifications Required
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA) or Certified Outpatient Coder (COC) or Certified Coding Specialist – Physician (CCS‑P) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Any relevant certification issued from a recognized governing body such as AAPC or AHIMA may be considered.
Additional Skills / Specialized Training Required
Experience coding hospital electronic medical records.
Excellent communication and interpersonal skills.
Experience with automated patient care and coding systems (Cerner, OPTUM EAC, 3M Encoder, Soarian).
Competence with MS Office software (Word, Excel, Zoom, Outlook).
Extensive knowledge of AHA coding clinic guidelines, ICD‑10‑CM, CPT codes, CMS guidelines, AHIMA, and AAPC code of ethics.
Preferred Experience
Experience coding oncology services.
Ability to work with minimal supervision.
Multi‑tasking skills.
Strong written and verbal communication skills.
Computer proficiency appropriate to position.
Customer service skills and ability to work in a fast‑paced environment.
Organizational skills.
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Hospital Outpatient Coder Senior is expected to function as a subject matter expert, assist less experienced team members on operational policies, train and onboard new team members, and participate in special projects assigned by the Mid Revenue Cycle leadership.
Responsibilities
Determine proper codes and modifiers for all billable services utilizing ICD‑10‑CM, CPT, and HCPCS code sets in accordance with coding compliant guidelines, federal regulations, and accreditation guidelines.
Analyze and review medical record documentation for the purpose of assigning diagnosis and CPT codes to insurance payers.
Code 100% of medical records/encounters for each assigned clinic or encounter type, following quality and productivity standards outlined in the KPI operational guidelines.
Utilize time‑management skills to ensure all codes are entered and coding edits are handled prior to month‑end.
Alert Manager or Director of HIM when coding problems or issues prevent accurate and timely coding.
Perform query processes to clarify and confirm clinic documentation.
Maintain credentials and certifications to stay current with coding of ICD‑10‑CM and CPT codes and skills needed to accurately abstract and code medical records.
Participate in special projects assigned by Mid Revenue Cycle leadership.
Serve as a subject‑matter expert, assist teammates, train and onboard new members.
Complete all other duties as assigned.
Credentials and Education
High School Diploma or GED.
Four (4) years of health‑care outpatient coding experience with ICD‑10‑CM, CPT, and HCPCS classification systems for more than one outpatient specialty.
Certifications Required
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA) or Certified Outpatient Coder (COC) or Certified Coding Specialist – Physician (CCS‑P) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Any relevant certification issued from a recognized governing body such as AAPC or AHIMA may be considered.
Additional Skills / Specialized Training Required
Experience coding hospital electronic medical records.
Excellent communication and interpersonal skills.
Experience with automated patient care and coding systems (Cerner, OPTUM EAC, 3M Encoder, Soarian).
Competence with MS Office software (Word, Excel, Zoom, Outlook).
Extensive knowledge of AHA coding clinic guidelines, ICD‑10‑CM, CPT codes, CMS guidelines, AHIMA, and AAPC code of ethics.
Preferred Experience
Experience coding oncology services.
Ability to work with minimal supervision.
Multi‑tasking skills.
Strong written and verbal communication skills.
Computer proficiency appropriate to position.
Customer service skills and ability to work in a fast‑paced environment.
Organizational skills.
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