POSITION SUMMARY

The Coder Outpatient Level II codes and abstracts the medical records of hospital based outpatient records using nationally recognized guidelines. The Coder Outpatient Level II may interact with the medical staff and the care team to assure accurate and complete documentation of diagnoses and appropriate CPT codes and/or HCPCS procedure codes, collects quality statistical information and assures timely follow-up of all accounts.

This position supports organizational goals by providing quality customer service, participating in clinical documentation improvement efforts and demonstrating a commitment to team work and cooperation.

QUALIFICATIONS

EDUCATION: High school diploma or equivalent required. Associate degree in HIM preferred. Bachelor's Degree in HIM preferred.

LICENSE/CERTIFICATION: Successful completion of a college based coding program or college based coding certificate program preferred (AHIMA-approved preferred). Certified Professional Coder (CPC) preferred, Certified Coding Specialist-Physician (CCS-P) or Certified Coding Specialist -- Hospital (CCS-H) preferred. Associate of Science HIM preferred. Bachelors of Science HIM preferred.

EXPERIENCE: Minimum 3 years of hospital based outpatient coding (recent hands on production) experience preferred. 1-2 years health care clerical experience with demonstrated knowledge of medical terminology and anatomy and physiology, as well as clinical medicine required. Proficiency in Clinical and Business Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.

PERFORMANCE EXPECTATIONS

Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.

Coder Outpatient Level II

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WORK ENVIRONMENT

Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury.

This active position requires the ability to work in a busy patient care area. Near visual acuity, long periods of visually examining documents and electronic files, and skilled use of multiple computer applications required. Must be able to work independently, demonstrate excellent communication skills, and manage daily work duties accurately and efficiently

The essential functions for this position are listed on the Assessment and Evaluation Tool.

REPORTING RELATIONSHIP

This position reports to department leadership.