Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Outpatient Medical Necessity Reviewer Coder/Abstractor (1.0Fte)

Expired Job

Lifepoint Hospitals Watertown , WI 53098

Posted 3 months ago

The Outpatient Coder/Abstractor is responsible for coding and abstracting selected data from clinical/client medical records to be used for reimbursement, marketing, utilization review and strategic planning purposes according to standards established by current law, regulations, and accrediting agencies. The Outpatient Coder/Abstractor is also responsible to review clinical orders for medical necessity, identifying and obtaining ABNs, as necessary. This individual performs in accordance with hospital standards and policies. Operates under minimal supervision.

Required Skills

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

  • Must have thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic; HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC).

  • Has knowledge of and abides by HIM.COD policies

  • Knowledge of healthcare industry, insurance industry, and current federal/state regulations governing billing practices.

  • Advanced reading and math skills.

  • Record keeping skills.

  • Relates to patients and peers to develop and maintain effective work/patient relationships.

  • Prioritizes work and meets changing demands and stress deadlines.

  • Effective oral and written communication and interpersonal skills and behaviors.

  • Follows procedures related to position accountabilities.

  • Working ability with word processing, typing skills and strong ability in spreadsheet or database applications.

  • Learns and applies analytical and participative problem solving techniques.

  • Extensive knowledge of medical terminology anatomy and physiology, medications and lab values.

  • Current knowledge of CPT and ICD-10-CM coding practices.

  • Advanced knowledge of Medicare local review policies and reimbursement methods.

  • Demonstrates responsibility and accountability according to legal, ethical, professional, educational and personal development goals.

  • Updates and develops continuous skills.

Two years previous related experience in coding field, preferred.

Certifications: Requires certification as Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) in any area.

High School Diploma Required

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Medical Lab Tech (Fte 10 Day)

Lifepoint Hospitals

Posted 2 weeks ago

VIEW JOBS 12/5/2018 12:00:00 AM 2019-03-05T00:00 The Medical Technologist / Medical Laboratory Technician (MT/MLT) is a professional member of the laboratory staff who works well as a member of the laboratory team, performing all laboratory procedures (Blood Bank, Chemistry, Coagulation, Hematology, Microbiology, Serology, Urinalysis, Point of Care) , assist with R&D, staff training, quality control review and assessment, instrumentation maintenance, venipuncture, solves problems under critical time constraints, operates under minimal supervision, and assists the Analytical Lead and Laboratory Manager. Qualified Medical Technologist (MT) candidates will have a Bachelor's Degree in Clinical Laboratory Science / Medical Technology and hold a current certification by the ASCP as a Medical Technologist/Clinical Laboratory Scientist. Experience preferred but not required.Qualified Medical Laboratory Technician (MLT) candidates will have a degree in Medical Laboratory Technician or Military Equivalent with eligibility for certification. MLT (ASCP) must be obtained within 90 days of employment. Experience preferred but not required. Lifepoint Hospitals Watertown WI

Outpatient Medical Necessity Reviewer Coder/Abstractor (1.0Fte)

Expired Job

Lifepoint Hospitals