What are the responsibilities and job description for the Medical Coder I Outpatient – Same Day Surgery, Observation position at medstar-stg?
MedStar Health is seeking experienced Outpatient Medical Coders that are self-motivated and have experience in facility coding, specifically in same day surgery and/or observation, to join our team!
MedStar Health provides the latest technology including our EMR Cerner MedConnect, 3MHDM and 3m360 computer-assisted coding software.
Selected candidates will enjoy full time, Monday – Friday, flexible REMOTE schedules.
Join one of the largest health systems in the area and enjoy the benefits of a comprehensive benefits package including paid time off, health/vision/dental insurance, short & long term disability, tuition reimbursement and the benefits of remote work capability.
Apply today and learn how MedStar Health can provide your next great career move!
Job Summary - Codes and abstracts primarily Emergency Department, Observation, and other outpatient records using ICD-10-CM, and other applicable patient classification schemes. May also perform beginning level of Ambulatory Surgery.
Primary Duties & Responsibilities
- Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.
- Adhere to all compliance regulations and maintains annual compliance education.
- Maintains continuing education and seeks ongoing education to improve job performance.
- Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.
- Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).
- Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic, procedural codes, and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.
- Exhibits knowledge of the 3M system and other work-related equipment.
Qualifications
- High School Diploma or GED Required
- Associate’s degree or Bachelor’s degree in coding related preferred
- CPC (Certified Professional Coder), CCA (Certified Coding Associate) or other coding certification credentials within 1 Year required
- Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and CPT-4 required
- Coding experience and experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding)
- Verbal and written communication skills.
- Basic computer skills required.
- RHIT (Registered Health Information Technician) and RHIA (Registered Health Information Administrator) preferred
