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Remote New

Outpatient Coder/Abstractor

Sentara
life insurance, vision insurance, parental leave, paid time off, sick time
United States, North Carolina
Feb 28, 2025

City/State

Virginia Beach, VA

Overview

Work Shift

First (Days) (United States of America) Sentara Health is seeking to hire a qualified individual to join our team as an Outpatient Coder/Abstractor.

Position Status: Full-time, Day Shift

Position Location: This position is REMOTE for residents 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 (state), West Virginia, Wisconsin, Wyoming

For applicants within Washington State, the following hiring range will be applied:$21.41 to $29.57 / hour.

Position Summary:

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.

Minimum Requirements:

  • At least 6 months of outpatient coding - preferred.

  • Knowledge of ICD-10-CM and CPT coding (or most current healthcare industry numerical coding system) procedures - required.

  • Knowledge of anatomy & physiology - required.

  • Highschool diploma or equivalent - required.

* CCS, CIC, CPC, COC or RHIT required within 1 year of hire. Successful completion of an AHIMA certified coding program preferred.

SentaraOverview

For more than a decade, Modern Healthcare magazine has ranked Sentara Health as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.

Sentara Benefits

As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:

  • Medical, Dental, and Vision Insurance
  • Paid Annual Leave, Sick Leave
  • Flexible Spending Accounts
  • Retirement funds with matching contribution
  • Supplemental insurance policies, including legal, Life Insurance and AD&D among others
  • Work Perks program including discounted movie and theme park tickets among other great deals
  • Opportunities for further advancement within our organization

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within avibrant, creative, and highly productive workplace. For information about our employee benefits, please visit:Benefits - Sentara (sentaracareers.com)

Join our team!We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!

Please Note:The yearly Flu Vaccination is required for employment.

Note: Sentara Health offers employees comprehensive health care and retirement benefits designed with you and your family's well-beingin mind. Ourbenefits packages are designed to change with you by meeting yourneeds now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

Job Summary

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.

6 months of outpatient coding preferred. Certified Coding Associate (CCA) also accepted. Knowledge of ICD-10-CM and CPT coding (or most current healthcare industry numerical coding system) procedures required. CCS, CIC, CPC, COC or RHIT (Registered Health Information Technician) required within 1 year of hire. Successful completion of an AHIMA certified coding program preferred. Knowledge of anatomy & physiology - required

Qualifications:

HS - High School Grad or Equivalent (Required) Certified Coding Specialist (CCS) - Certification - American Health Information Management Association (AHIMA), Certified Inpatient Coder (CIC) - Certification - American Academy of Professional Coders (AAPC), Certified Professional Coder (CPC) - Certification - American Academy of Professional Coders (AAPC), Certified Professional CoderHospital (CPCH) - Certification - Other/National, Registered Health Information Technician (RHIT) - Certification - Other/National Coding, Medical Terminology

Skills

Sentara Healthcare 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.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

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

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