Job Description:

Outpatient Coder III

Job ID

2020-87703

Department

HIM Outpatient Coding

Site

HMH Hospitals Corporation

Job Location

US-NJ-Hackensack

Position Type

Full Time with Benefits

Standard Hours Per Week

40

Shift

Day

Shift Hours

8:30am - 5pm

Weekend Work

Weekends as Needed

On Call Work

No On-Call Required

Holiday Work

As Needed

Overview

How have you impacted someone's life today? At Hackensack Meridian Health our teams are focused on changing the lives of our patients by providing the highest level of care each and every day. From our hospitals, rehab centers and occupational health teams to our long-term care centers and at-home care capabilities, our complete spectrum of services will allow you to apply your skills in multiple settings while building your career, all within New Jersey's premier healthcare system.

Fostering a culture of excellence within a collaborative environment, Hackensack Meridian Health is seeking talented professionals to implement and support innovative solutions & technologies. Our Information Technology team enables HMH to meet the changing demands of the healthcare marketplace by providing creative, high quality, efficient and effective solutions. Come join the HMH team as we recently rolled out Epic throughout our network and are looking for top talent to support this implementation.

Under the general direction of the Revenue Cycle Director and Coding Manger, Physician Services Division, this position's primary responsibility is the coding of all professional charges for reimbursement, based on research and compliance with all federal regulations using the ICD-10-CM classification system and CPT-4 procedural codes.

HMH IT department has received many accolades from recognized organizations; including Most Wired and Fortune. Come join our winning IT team that was ranked as #1 'Best Hospital IT Department' for the past two years by Health IT News.

Responsibilities

A day in the life of Outpatient Coder III at Hackensack Meridian Health includes:
Abstract clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10-CM and/or CPT-4 procedural codes to patient records according to established procedures.
- Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology and special services, identifies medical and surgical complications
- Utilizes the physician query process to obtain/validate missing information and/or discrepancies for clarification of documentation for accurate code assignment.
- Analyzes and codes charges in a timely and accurate manner to ensure quality data and timely review.
- Ensure all charges are submitted with a goal of zero errors by verifying completeness and accuracy of all charges prior to submission based on regulatory and payor guidelines.
- Reviews and completes all regulatory and coding edits/rejects in billing system.
- Performs follow-up complex coding of medical records as a result of internal or external reviews which have identified Coding discrepancies.
- Attends and participates in coding-related educational activities and management meetings, as directed.
- Stays abreast on state and federal coding regulations in order to utilize state of the art methods of accurate reimbursement.
- Completes assigned work ensuring department benchmarks are met or exceeded consistently in accordance with current industry standards and use of current technologies
- Maintains professional skills and remains engaged in the goals and vision of the organization to ensure the department functions efficiently and accurately with integrity
- Actively participates in staff meetings and offers constructive suggestions for improving the process.
- Complies with established corporate and departmental policies, procedures, objectives, quality assurance methods, and safety codes. Demonstrates compliance with licensing, regulatory and accrediting agency provisions as required.
- Maintains annual mandatory education requirements specific to the position as mandated by Hackensack Meridian Health.
- Participate in special projects as needed.
- Perform additional duties as requested by Supervisory or Management team.
- Adheres to HMH's Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:
- High school diploma or equivalent.
- Courses in Medical Terminology and Anatomy and Physiology.
- Experience in deficiency analysis, registration, and basic coding courses.
- Minimum of 3 years of experience in ancillary, emergency department and/or outpatient services, including but not limited to endoscopy, cardiac cath and same day surgery.
Education, Knowledge, Skills and Abilities Preferred:
- Associate's degree.
- Encoder usage preferred with proficiency in computer skills.
Licenses and Certifications Preferred:
- Certified Coding Associate.
- Certified Coding Specialist.
- Registered Health Info Tech License.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

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Meridian Health is committed to the principles of equal employment opportunity and affirmative action and will not discriminate in the recruitment or employment practices on the basis of race, color, creed, national origin, ancestry, marital status, gender, age, religion, sexual orientation, gender identity/expression, disability, veteran status and any other category protected by federal or state law.

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