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**Req Number** 163253

Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance.

* Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and

ensure accurate coding at minimum accuracy rate of 95%.

* Competent in the utilization of an electronic medical record, and

computerized coding/abstracting systems.

* Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any

additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient's

acuity, severity of illness and risk of mortality (if applicable) and all charges as documented in the medical record.

* Applies knowledge of ambulatory payment classification reimbursement for procedure coding, current procedural terminology guidelines,

knowledge of local coverage determination's for medical necessity, and appropriate use of modifiers.

* Effectively and professionally communicates with providers to clarify documentation in order to assign accurate diagnoses and procedures for

ambulatory payment classification and for medical necessity.

* Ability to code using either 3M encoder or ICD-9-CM/ICD-10-CM book.

* Performs E/M (Evaluation Management) coding for physician and facility with a minimum accuracy of 95%.

* Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of

changes in codes, coding guidelines and regulations.

* Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance.

* Achieves the organization's established expectations with regard to

customer service, teamwork and safety.

* Responds to all questions regarding diagnoses and procedures with the billing office in a timely manner.

* Fulfills all compliance responsibilities related to the position.

* Performs other duties as assigned.

Education, Skills, Experience:

+ Essential: CPC, COC, CCS, or CCS-P certification

+ Required: Specialized training in medical terminology, ICD-10-CM Diagnosis, CPT procedure and E/M coding.

+ Able to decipher operative reports, medical orders, and various medical records in the appropriate selection of codes.

+ Experience in acute care coding with outpatient records.

+ Minimum Experience: 2 years demonstrated coding experience in appropriate application of coding and documentation guidelines

+ Desired: Course work in Anatomy and Physiology. Education-HS Graduate or Equivalent

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $40-$45/hour

It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.