Outpatient Coding Specialist I - Ambulatory Surgical Unit (ASU)

MedStar Health's Outpatient Ambulatory/Same Day Surgery Coding Team is looking for an experienced Coding Specialist I to join our team!

The Outpatient Coding Specialist I analyzes and interprets clinical documentation to accurately code and abstract either Emergency Department, Observation or beginning level Ambulatory Surgery and other outpatient records for all MedStar entities in accordance with established ICD-10-CM/PCS CPT and other applicable coding classification schemes.

Primary Duties and Responsibilities

• Abstracts and ensures accuracy of diagnoses, procedure, patient demographics and other required data elements.
• Adheres to all compliance regulations and maintains annual compliance education.
• Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.
• Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.
• Consistently meets or exceeds established Quality standards as defined by policies.
• Consistently meets or exceeds established Productivity standards as defined by policies.
• 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 Solventum system and other work-related equipment.

Minimal Qualifications
Education

• High School Diploma or GED required
• Associate's degree in coding orBachelor's degree in coding related preferred
• Courses in Medical Terminology Anatomy & Physiology ICD-CM required
• CPT-4 preferred

Experience

• Coding experience and experience with clinical information systems (Solventum grouper electronic medical records computer assisted coding) preferred

Licenses and Certifications

• CPC (Certified Professional Coder), CCA (Certified Coding Associate) or other coding certification credentials within 1 Year required
• RHIT (Registered Health Information Technician) and RHIA (Registered Health Information Administrator) preferred

Knowledge Skills and Abilities

• Verbal and written communication skills.
• Basic computer skills required.
• Strong analytical and organizational skills; ability to prioritize workloads and meet deadlines.