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PIH Health
Los Angeles, California
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Rush University Medical Center
Chicago, Illinois
Duke University Health System
Raleigh, North Carolina
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Outpatient Coder
Overview OP Coders analyze clinical documentation; assign appropriate diagnosis, procedure, and, in some cases, levels of service codes; and abstract the codes and other clinical data. Performs a variety of technical functions within the Hospital Outpatient coding area, codes ancillary outpatient visits, home health, hospice, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM and CPT-4 Coding Classification systems. Utilizes an encoder and computer assisted coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for the services provided. Responsibility includes resolving medical necessity edits, and extracting and entering data into the medical record abstract for a variety of like outpatient visit type
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