Outpatient Coder I

Overview

About the Role

The primary purpose of the Outpatient Coder I position is to perform medical record review of clinic visits, radiology reports, laboratory requisitions, and/or other diagnostic testing/reports as assigned. The coder will identify the appropriate E/M visit charge for clinics only and assign ICD-10 diagnosis code(s) and CPT procedure code(s) when appropriate to the encounter.

Responsibilities

What You’ll Do

• Review outpatient medical records, including clinic visit documentation, radiology reports, laboratory requisitions, and other assigned diagnostic reports.
• Analyze clinical documentation to support accurate coding and billing.
• Determine and assign the appropriate Evaluation and Management (E/M) charges for clinic encounters only.
• Assign correct ICD-10 diagnosis codes based on documented conditions.
• Assign applicable CPT procedure codes when supported by the encounter documentation.

Qualifications

What You’ll Bring

• High School Diploma or equivalent required
• One (1) to two (2) years of medical records and outpatient coding experience (technical and hospital) required
• New graduates or senior students in Health Information Management (HIM), Health Information Technology (HIT), or a related health field will be considered in lieu of experience
• Knowledge of:
  • Medical terminology
  • Anatomy and physiology
  • Disease processes
  • Coding Clinic guidelines

• Knowledge of outpatient ICD-10 and CPT-4 coding principles and guidelines required
• Prior experience using an encoder (Clintegrity 360) and navigating an electronic medical record is a plus
• Ability to balance multiple and changing priorities
• Must be able to read, write, and speak English
• Excellent verbal and written communication skills required
• Detail-oriented, accurate, well-organized, and able to work independently
• Working knowledge of computers and ability to navigate the internet
• Proficient in Microsoft Office, especially Excel, Outlook, and shared files used daily
• Availability to work evenings and/or weekends as required

What We Offer

• Medical & Prescription Drug Coverage
• Dental & Vision Insurance
• Health Savings Account (HSA) & Flexible Spending Account (FSA)
• Short- & Long-Term Disability Insurance
• Pension Plan
• Pet Insurance
• Employee Assistance Program (EAP)
• Professional Development

Compensation (NJ Job Transparency Law)

The expected hourly range for this position is $31.29- $32.75 per hour, in accordance with the New Jersey Pay Transparency Law; final compensation will be commensurate with experience and qualifications.

About Us

University Hospital is one of the nation’s leading academic medical centers. As the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation.

Apply Today

We encourage candidates from all backgrounds to apply. If you want to grow your career in healthcare while serving a vibrant community, we’d love to meet you

What You’ll Do - Review outpatient medical records, including clinic visit documentation, radiology reports, laboratory requisitions, and other assigned diagnostic reports. - Analyze clinical documentation to support accurate coding and billing. - Determine and assign the appropriate Evaluation and Management (E/M) charges for clinic encounters only. - Assign correct ICD-10 diagnosis codes based on documented conditions. - Assign applicable CPT procedure codes when supported by the encounter documentation.