Coder at Nemours in Wilmington, Delaware

Job Description:

Nemours is seeking a Coder that has completed a coding certificate or degree granting program through AHIMA and/or AAPC

Responsible for the proper coding and abstracting of outpatient facility accounts using ICD-10-CM diagnosis, CPT, and HCPCS or any other designated coding classification system in accordance with coding rules and regulations.

Knowledge and adherence to the Official Coding Guidelines for ICD 10 CM is required. Participation in on-going coding training and education is essential and required for this position. Maintaining annual coding certification through the American Health Information Management Association (AHIMA) or the AAPC is also required.

Ability to read and comprehend the medical record to identify all diagnoses, operations, and procedures relevant to the current period.

Translate diagnostic and procedural documentation into the appropriate ICD-10-CM, CPT, and HCPCS codes.

Assign appropriate E/M level to emergency department and Observation cases.

Accurately assign modifiers as needed.

Enter appropriate charges based on documentation for sedation, recovery time, injections, infusions, and other procedures.

Abstract records in an accurate manner according to established procedures and guidelines.

Meet and/or exceed coding quality standards.

Meet and/or exceed coding productivity standards.

Review and address coding edits including coding validation, medical necessity, and local coverage determinations (LCDs).

Demonstrate and incorporate a working knowledge of the Epic system for retrieval of clinical data for coding purposes.

Qualifications:
Certified Coding Specialist Certification (CCS) or Certified Professional Coder (CPC)

2 year Degree preferred

Experience preferred