Observation Coder - Health Information Management

Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values. 

Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available.

Possess outpatient coding knowledge and experience necessary to accurately assign ICD-10-CM codes for   principal diagnosis and any applicable secondary diagnoses on all Observation encounters. 

Possess outpatient coding knowledge and experience necessary to accurately assign CPT procedure codes for principal procedure and any applicable secondary procedures on all Observation encounters, when applicable, to arrive at the most appropriate APC assignment. 

Understands and appropriately assigns all applicable modifiers to CPT procedure codes and ancillary charges required to prevent billing edits.

Queries physicians appropriately when documentation is not clear in the medical record.

Maintains department specific productivity standards with a 95% accuracy rate.

Respects patient confidentiality at all times.

Performs other backup duties as assigned.

• 1 to 2 years of Hospital observation coding in Medical Records.