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Outpatient coder II

Children's Health Dallas, TX
outpatient health medical procedures data current procedural terminology (cpt) medical records software meetings education team healthcare assigning
February 7, 2023
Children's Health
Dallas, TX

ABOUT THE JOB: 
As a Certified Medical Records Coder you will be responsible for accurately assigning diagnostic, procedure, and infusion codes to records of emergency department, radiology, ambulatory surgery, observation, and other outpatient encounters as assigned, abstracting patient information, and forwarding reports as required.

Other task as follow, maintain established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards; possess in-depth knowledge of the conventions, rules, and guidelines of multiple classification systems, including ICD-10 diagnosis and procedures and Current Procedural Terminology (CPT).

Possess in-depth knowledge of disease process in multiple medical/surgical specialties; review patients' entire current medical records and utilize encoder software and/or code books to assign appropriate diagnosis codes using the International Classification of Diseases, 10th Edition – Clinical Modification (ICD-10-CM) according to predetermined department standards; determine the sequence of diagnoses according to uniform hospital discharge data; review and assign CPT infusion codes following guidelines for infusion administration; review surgical and designated diagnostic procedure documentation to assign appropriate procedure codes using the International Classification of Diseases, 10th Edition, Procedure Coding System (ICD-10_PCS), and Current Procedural Terminology (CPT) using encoder software and/or code books.

As well as determine and record other required data items such as attending physician, discharge disposition, number of consultations, referral source, and similar data; query physicians or other providers to obtain clarification and diagnosis information when not recorded on discharge, or if information is incomplete; assist in training hospital personnel in coding procedures; assist in care and maintenance of department equipment and supplies; maintain department records, reports and files as required; participate in educational programs and in-service meetings; attend other meetings as required; retrieve records for closing out each month and make corrections to coded and abstracted information as required and perform additional duties as assigned.

WORK EXPERIENCE

  • At least 1 year hospital experience with strong computer skills required

EDUCATION

  • High school diploma or GED, is required. 

LICENSES AND CERTIFICATIONS

  • Certification as Certified Coding Specialist (CCS), Certified Coding Associate (CCA), AAPC certification, or two years of education and/or previous coding experience required
  • Certification as Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) is preferred

About us

Children’s Health values the role each member of our team plays in helping us make life better for children. We employ more than 7,500 people and provide rewarding career opportunities that help them reach their highest potential.
We also hold Magnet recognition from the American Nurses Credentialing Center for nursing excellence, we serve as the primary pediatric teaching facility for the University of Texas Southwestern Medical Center, and we are widely recognized for delivering high quality care.
Children’s Health has also been named one of the 150 Top Places to Work in Healthcare by Becker’s Healthcare for nine consecutive years.
We invite you to learn more about Children’s Health.

Benefits
Children’s Health offers competitive pay, a comprehensive benefits program and opportunities for learning and career development. We promote a diverse and inclusive workplace, and our team members have a voice in their work through surveys and town halls.
We invite you to learn more about Children’s Health.


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