Outpatient Coder Iv-Full Time-Day

Hackensack University Medical Center Totowa , NJ 07512

Posted 2 months ago


The Outpatient Coder IV is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare & Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.


  • Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.

  • Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

  • Analyzes medical records and identifies documentation deficiencies.

  • Reviews and verifies documentation supports existing diagnoses, procedures and other charges.

  • Identifies reportable elements, complications, and other quality measures. Communicates with physicians to clarify information via the physician query process

  • Assign CPT, HCPCS and ICD-10-CM codes.

  • Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.

  • Maintains required productivity and quality requirements.

  • Other duties and/or projects as assigned.

  • Adheres to HMH Organizational competencies and standards of behavior.


  • High School Diploma or higher

  • Minimum of 4+ years of coding experience, Trauma Level 1 and Academic Teaching facility.

  • Strong understanding of physiology, medical terms and anatomy.

  • Proficiency in computer skills including typing speed and accuracy.

  • Excellent written and verbal communication skills.

  • Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

  • Proficient in coding Ancillary Accounts such as Diagnostic Radiology and Cardiology

  • Proficient in coding Emergency Department and Infusion based services such as Oncology.

  • Proficient in coding Observation and Procedure Room such as Endoscopies and Cardiac Cath.

  • Proficient in coding all outpatient services especially Operating Room procedures.

  • An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders

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Outpatient Coder Iv-Full Time-Day

Hackensack University Medical Center