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Observation Coder

McLeod Health

The Observation Coder is responsible for accurately assigning diagnosis and procedure codes to observation discharges at all McLeod Health facilities.

  • Maintain a professional image and provide excellent customer relations to patients, visitors, physicians, and co-workers in accordance with Service Excellence Standards and Core Values.
  • Stay current on coding updates by attending coding classes, reading coding publications, and participating in seminars when available.
  • Assign ICD-10-CM codes for principal and secondary diagnoses on observation encounters.
  • Assign CPT procedure codes for principal and secondary procedures on observation encounters, when applicable, to support the most appropriate APC assignment.
  • Apply all required modifiers to CPT procedure codes and ancillary charges to prevent billing edits.
  • Query physicians when documentation in the medical record is unclear.
  • Maintain department productivity standards with a 95% accuracy rate.
  • Respect patient confidentiality at all times.
  • Perform backup duties as assigned.
  • Work schedule: 80 hours bi-weekly.
Requirements & Qualifications
  • 1 to 2 years of hospital observation coding experience in Medical Records.
  • High School diploma or GED.
  • Current AHIMA or AAPC certification.
  • Outpatient coding knowledge and experience.
  • Knowledge of ICD-10-CM and CPT coding.
  • Ability to assign modifiers and ancillary charges accurately.
  • Strong attention to detail and documentation review skills.

Location

South Carolina, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

2 weeks ago

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