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Outpatient Coder Intermediate

Location: Poughkeepsie, New York US


Requisition Number: 10854

Position Title:

External Description:

Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations.

Position Summary: Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance.

Responsibilities · Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. · Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. · Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient’s acuity, severity of illness and risk of mortality (if applicable) and all charges as documented in the medical record. · Applies knowledge of ambulatory payment classification reimbursement for procedure coding, current procedural terminology guidelines, knowledge of local coverage determination's for medical necessity, and appropriate use of modifiers. · Effectively and professionally communicates with providers to clarify documentation in order to assign accurate diagnoses and procedures for ambulatory payment classification and for medical necessity. · Ability to code using either 3M encoder or ICD-9-CM/ICD-10-CM book. · Performs E/M (Evaluation Management) coding for physician and facility with a minimum accuracy of 95%. · Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. · Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance. · Achieves the organization's established expectations with regard to customer service, teamwork and safety. · Responds to all questions regarding diagnoses and procedures with the billing office in a timely manner. · Fulfills all compliance responsibilities related to the position. · Performs other duties as assigned.

Other Information Essential: CPC, COC, CCS, or CCS-P certification Required: Specialized training in medical terminology, ICD-10-CM Diagnosis, CPT procedure and E/M coding. Able to decipher operative reports, medical orders, and various medical records in the appropriate selection of codes. Experience in acute care coding with outpatient records. Minimum Experience: 2 years demonstrated coding experience in appropriate application of coding and documentation guidelines Desired: Course work in Anatomy and Physiology


Location: Vassar Brothers Medical Center

Work Type: Full-Time

Standard Hours: 40.00

FTE: 1.000000

Work Schedule: Day 8

Work Shift: Monday - Friday Day shift

Org Unit: 874

Department: Health Information Management


Exempt: No


Grade: S7



EOE, including disability/vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.

City: Poughkeepsie

State: New York

Community / Marketing Title: Outpatient Coder Intermediate

Company Profile:

Health Quest and Western Connecticut Health Network have combined to form a new nonprofit health system. The name for the new health system will be Nuvance Health. The new health system was created to provide communities across New York’s Hudson Valley and western Connecticut with more convenient, accessible and affordable care.

EEO Employer Verbiage:

Location_formattedLocationLong: Poughkeepsie, New York US

Job Number: 33067