Outpatient Coding Abstractor

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Outpatient Coding Abstractor

Codes Outpatient Diagnostics, Recurring and/or Emergency Department accounts. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for hospital reimbursement, medical necessity, mortality & morbidity outcomes, governmental compliance coding, research, statistics, and regulatory compliance.

Under the direction of the Health Information Management Coding Manager, accurately codes outpatient encounters diagnosis, procedures and/or modifiers that are supported by the health record in accordance with ICD-10-CM Official Coding Guidelines for Coding and Reporting. Abstracts, codes and assigns necessary demographic and clinical data elements required for outpatient records.

• Effectively utilizes encoder software to ensure appropriate reimbursement and accurate APC assignment.
• Completes all work in accordance with defined productivity and quality standards.
• As necessary, queries and/or submits request to the physician for additional information or clarification of diagnoses, co-morbid/secondary conditions, and procedures.
• Assures coding practices fall within established compliance guidelines.
• Performs other related duties as requested by HIM management.

Remote residency must be one of the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland,  Nebraska,  New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma,  South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming

Education

• High School Diploma

Certification/Licensure

• No specific certification or licensure requirements

Experience

• Remote Position
• Previous clinical experience ( Coding, Medical Terminology, Physiology, Pharmacology, etc.)
• previous coding experience preferred
• General knowledge of and successful maintenance of outpatient records strongly preferred

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.