OP Coder

Summary:

Consult with physicians and other healthcare providers to obtain clarification documentation to assist with accurate and complete diagnosis and procedure code assignments.

Project Details:

• Select, code, and sequence the principal diagnosis, principal procedure, complications and comorbid (CC) conditions, and other significant invasive and non-invasive procedures that should be coded according to ICD-9-CM official guidelines for coding and reporting, published by the U.S. Department of Health and Human Services (DHHS) and the AHA Coding Clinic for ICD-9-CM.
• Select, code, and sequence the principal procedure, other significant invasive and non-invasive procedures according to the coding conventions and guidelines outlined in the CPT code set, the National Correct Coding Initiative (NCCI), the Outpatient Coding Editor (OCE), and the AMA CPT Assistant publication.
• Where appropriate, apply Medicare Outpatient Prospective Payment System (OPPS) coding assignment requirements regarding the following:
• Modifiers approved for Hospital Outpatient use
  CPT consistent with HCPCS Level II
  Medical Necessity Justification (i.e., linking diagnosis to procedure/service performed)
• Evaluation and Management code assignment, when necessary.
• Demonstrate competency in performance of coding functions by maintaining current knowledge in ICD-9-CM, CPT, and HCPCS coding.
• Maintain a daily productivity level according to the benchmarks and standards outline in the HIM department policy and procedure.
• Participate in hospital performance improvement activities (BPI projects, task forces, etc.) as needed.
• Perform routine clerical tasks and other assigned coding department duties when necessary.
• Answer telephones and address any request from physicians, co-workers, visitors, and other departments (such as the Business Office, and Medical Staff) regarding coding related matters.
• Perform all duties in a supportive and cooperative manner promoting a positive work environment according to TMMC values.

Job Experience:

• Must be able to communicate effectively with the public, interdepartmental personnel, co-worker, and physicians.
• Maintains and respect patients and employee confidentiality, rights, and privacy at all times.
• Maintain a cooperative, courteous, pleasant, and positive attitude and relationship with all Health Information Management staff.
• Must demonstrate effective verbal and written communication skills.

Hourly Rate: 29.75-38.5