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Outpatient Surgical Coder
Grand Island Regional Medical Center

Location: Grand Island, Nebraska
Work Setting: Hospital
Job Function:
Job Type:
Salary Range: Undisclosed

Job Description

General Job Description

Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD-10 diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation for inpatient, outpatient , emergency, ambulatory surgery and ancillary service visits.

Detailed Job Description

  • Accurately assigns and sequences diagnosis and procedure codes utilizing provider documentation.
  • Maintains thorough understanding of Government and commercial payer documentation, coding and reimbursement guidelines, CCI edits, MUE’s, NCD’s and LCD’s.
  • Achieves and consistently maintains departmental productivity/performance goals and metrics.
  • Analyzes, researches and performs payer follow up tasks specific to coding denials.
  • Regularly advises HIM Manager of concerns including but not limited to provider documentation content and timeliness to complete, payer performance, system functionality and any other identifiable barriers to performance thus negatively influencing the organizational goals and metrics.
  • Provides timely feedback to providers when identifying documentation concerns.
  • Maintains coding certification by performing continuing educational requirements as defined by certifying body/organization.
  • Adheres to credentialing body’s Code of Ethics.
  • Performs all other assigned duties.

Preferred Qualifications

Work Experience Requirements

  • Previous experience with medical terminology preferred
  • Acute Hospital experience preferred. 
  • Outpatient surgical coding experience preferred

Educational Requirements

High school diploma/GED required; associate’s degree preferred

Certification from AHIMA or AAPC required.  Must obtain within 12 months of employment if not currently held.

Posted: March 2, 2022 at 1:11 PM
Post ID: 67130

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