Outpatient Coder I at MaineHealth Corporate in Scarborough, Maine

Job Description:

SUMMARY **Remote/Work from Home**

* Position Summary

* This is the first level of a 4-tier career path. Under the general direction of the Coding Director, this position is responsible for the accurate assignment of ICD-9-CM (ICD-10-CM) and CPT-4 coding of diagnoses and procedures for outpatient medical records including Outpatient Hospital Clinics, ASU, IV Therapy, Emergency Department and other areas as needed; abstracting to determine accuracy and completeness of the outpatient record utilizing 3M Coding Reimbursement and/or Optum, and Epic Systems to compile data. The Coder I evaluates medical necessity and Correct Coding Initiative edits and resolves them. Data reported is used to meet licensure requirements, statistical purposes and reimbursement purposes.

* Required Minimum Knowledge, Skills, and Abilities (KSAs)

* Education: Associates degree in a science field strongly preferred with completion of an accredited program through AHIMA or AAPC.

* License/Certifications: CCA, CCS, RHIT, RHIA and/or Certified Professional Coder (CPC), or CPC-A credential required.

* Experience: Completion of the MH Coder I apprenticeship program or 1-2 years' experience coding in an outpatient setting using 3M Coding and/or Optum Reimbursement encoder and CAC products. Utilization of Epic EMR system is preferred.

* Proficiencies: Demonstrated, applied knowledge of ICD-9-CM (ICD-10-CM) and CPT-4 coding guidelines and principles required.

* Specialized Knowledge: Ability to apply broad guidelines to specific coding situations, independently, utilizing discretion and a significant level of analytical ability. Good understanding of Anatomy and Physiology as well as Pharmacology.

MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability or veteran status.