Non-Clinical - Health and Information Management - ...
Pinnacle Technology - Weatherford, TX
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RequiredMinimum two (2) years acute hospital outpatient based coding experience.An equivalent combination of education and experience may be considered.One of the following certifications is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), AHIMA Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), or Certified Interventional Radiology Cardiovascular Coder (CIRCC) PreferredBachelors Degree or Associate Degree in Health Information Management and/or closely related fieldExperience working in a remote environment Job DutiesResponsible for coding retrospective outpatient accounts using ICD-10 CM and CPT, in compliance with the Official Coding Guidelines and conventions.Accurately identifies most appropriate Reason for Visit, First Listed (Primary) Diagnosis, Procedure(s), Modifiers, and all secondary diagnoses to accurately support medical necessity (LCD/NCD edits) and CCI edits. Accurately abstracts required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), Occurrence Codes, and other designated data.a) Identifies when a physician query is appropriate for further clarification. b) Recognizes when the documentation is missing or incomplete and routes appropriately. c) Validates chargemaster driven CPT code assignment and routes appropriately. d) Completes review and final coding when query and/or documentation is available.Maintain the Quality and Productivity coding service lines as requested to ensure quality.Mentor/train on designated coding service lines as requested to ensure quality.Maintains an expert level of knowledge of coding related guidelines and practices.Other duties as assigned.
Created: 2026-03-05