Coder I Specialist – Office Visit E&M, Rheumatology

This is a fully remote position, open to applicants in United States.

📋 Description

• Review and code electronic medical record documentation for hospitalist rounds and office visits.

• Utilize ICD diagnosis codes, CPT procedure codes, modifiers, hierarchical condition categories, complications, and comorbidities in accordance with coding guidelines.

• Assess diagnosis and procedure codes along with modifiers against Outpatient Code Editor and National Correct Coding Initiative edits.

• Ensure that clinical documentation accurately reflects the patient's clinical status, treatment, and diagnoses.

• Detect missing, vague, or inconsistent documentation and procure necessary documentation.

• Identify and input data elements for abstraction.

• Achieve established coding accuracy and productivity standards.

• Independently apply coding guidelines utilizing discretion and analytical skills.

• Facilitate reimbursement, public reporting, quality of care, financial modeling, strategic planning, and marketing initiatives through precise coding.

• Stay updated with coding and industry developments via educational opportunities.

• Inform coding leadership of trends and topics for physician and departmental education and feedback.

• Contribute to process improvements to optimize resource utilization, reduce costs, and enhance coding services.

• Adhere to AHIMA/AAPC Standards of Ethical Coding and official coding guidelines.

⛳️ Requirements

• High School Diploma/GED is mandatory.

• An Associate's Degree in Health Information Management is preferred.

• A Bachelor's Degree in Health Information Management is preferred.

• Certified Professional Coder (CPC) – AAPC is required, or CPC-A – AAPC is required, or CCS – AHIMA is required, or CCS-P – AHIMA is required, or CCA – AHIMA is required.

• RHIA – AHIMA preferred or RHIT – AHIMA preferred, with certification achievable within 180 days.

• Two years of coding experience is preferred.

• Extensive knowledge of professional coding guidelines.

• Understanding of medical terminology and anatomy/physiology.

• Familiarity with payer-specific coding guidelines.

• Capability to meet established coding accuracy and productivity standards.

• Ability to independently apply broad guidelines using discretion and significant analytical skills.

• Willingness to travel rarely or not at all.

🏝️ Benefits

• Comprehensive benefit offerings for eligible employees.