Senior Medical Coder (Outpatient)

Scope of Position
Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process.

Position Summary
The position is responsible for coding medical records and other documents at the conclusion of the patients visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians.

Codes are selected in the Computer Assisted Coding/Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement.

This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.

Minimum Qualifications for Hire:
Minimum completion of a CAHIIM approved coding certificate program or HIMT program or equivalent education amp; experience. Demonstrated coding proficiency through the completion of OSUWMCs coding test. Familiarity or experience with computer assisted coding and/or automated encoder.

Required: Associates Degree in Health Information Management, and a minimum of 1 year outpatient coding experience that include the following service lines: cancer, transplant, obstetrics, rehabilitation and cardiology.
For promotion: ability to code at least 3 of the 5 inpatient service locations: University Hospital, University Hospital East, James Cancer Hospital, Ross Heart Hospital and Dodd Rehabilitation Hospital.
OR
Required: 3 years acute care academic medical center outpatient coding experience within an academic Health Information Management department (service lines must include cancer, transplant, obstetrics, rehabilitation and cardiology).
For promotion: ability to code at least 3 of the 5 outpatient service locations: University Hospital, University Hospital East, James Cancer Hospital, Ross Heart Hospital and Dodd Rehabilitation Hospital.
AND
Required: Credentialed as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) by the American Health Information Management Association.
Outpatient:

Certification
RHIA, RHIT, CCS, or COC (outpatient credential only)

On Going:
Maintain continuing education requirements as determined by the American Health Information Management Association orAAPC. Review Coding Clinics, CPT assistant as frequently as needed for education purposes, and to ensure the official coding guidelines are followed.
The senior medical records coder attends monthly coding meetings and coding education sessions for updates on coding guidelines and related issues while maintaining a minimum score of 90% on coding assessments.