Observation Coder – Health Information Management

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🕒 March 18

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Logo of McLeod Health

McLeod Health

10,000+ employees

Founded over a century ago

⚕️ Healthcare Insurance

Healthcare Insurance

McLeod Health is a healthcare organization providing a wide range of medical services in multiple locations, including Florence, Cheraw, Clarendon, Dillon, Loris, Seacoast, and Carolina Forest. It offers specialized care across various departments such as behavioral health, cancer treatment, cardiology, orthopedics, neurology, emergency and trauma services, as well as children's and women's healthcare. McLeod Health is committed to community involvement and offers wellness programs, occupational health, and patient support services. The organization is recognized for its dedication to patient safety and advanced healthcare services, including telehealth options, rehabilitation, and a variety of outpatient services. It also supports medical education through physician employment and residency programs.

📋 Description

• The Observation Coder is responsible for accurately assigning diagnosis and procedure codes to observation discharges at all McLeod Health facilities. • Possess outpatient coding knowledge and experience necessary to accurately assign ICD-10-CM codes for principal diagnosis and any applicable secondary diagnoses on all Observation encounters. • Possess outpatient coding knowledge and experience necessary to accurately assign CPT procedure codes for principal procedure and any applicable secondary procedures on all Observation encounters to arrive at the most appropriate APC assignment. • Understands and appropriately assigns all applicable modifiers to CPT procedure codes and ancillary charges required to prevent billing edits. • Queries physicians appropriately when documentation is not clear in the medical record. • Maintains department specific productivity standards with a 95% accuracy rate.

🎯 Requirements

• 1 to 2 years of Hospital observation coding in Medical Records. • High School/GED. • Health Info Mgt Association or AAPC certification.

🏖️ Benefits

• Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values. • Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available. • Respects patient confidentiality at all times. • Performs other backup duties as assigned.

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