Job Description

Summary

:

The Outpatient Coder/Abstractor Level II is responsible for coding and abstracting medical records in accordance with established guidelines for outpatient hospital services. This includes, but is not limited to, same-day surgery, observation, emergency department services, clinic services, infusion center services, and diagnostic testing.

Essential Functions and Responsibilities Includes the Following:

  • Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
  • Accurately assign codes to meet established coding guidelines, including ICD-10 CM, CPT-4, HCPCS, and Modifiers.
  • Analyze medical records to identify all appropriate coding and sequencing of diagnoses and procedures.
  • The review of local coverage determinations (LCD)/National Coverage Determination (NCD) alerts is conducted to ensure that diagnoses are accurately captured and documented.
  • Seeks clarification on info...

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