Coder – Outpatient

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

📋 Description

• Assign ICD-10-CM codes to medical record accounts, including diagnoses.

• Extract essential data elements necessary for billing, regulatory agencies, and other databases.

• Evaluate records for clinical relevance and ensure documentation supports accurate facility-based charges.

• Engage with providers to clarify documentation and guarantee the appropriate assignment of diagnoses, procedures, and facility E/M levels.

• Review and address claim edits related to outpatient encounters, including medical necessity and NCCI/CCI edits.

• Aid in correcting simple visit coding errors related to other outpatient visits.

• Exhibit professionalism and courtesy when interacting with visitors, colleagues, physicians, and hospital staff.

• Uphold patient confidentiality in accordance with hospital policies and legal and industry standards.

• Support hospital objectives and initiatives aimed at patient care.

• Participate in regular training sessions to enhance patient and customer communication.

• Conduct qualitative analysis of records using CPT/HCPCS and ICD-10-CM guidelines.

• Collaborate with AR teams to resolve issues.

⛳️ Requirements

• Credentials such as RHIT, RHIA, CEDC, COC, CPC, CCS-P, or CCS.

• A minimum of three years of coding experience.

• Comprehensive working knowledge of ICD-10-CM and CPT coding systems.

• Awareness of federal and state regulations concerning reimbursement.

• Familiarity with hospital information systems, electronic medical record systems, and encoders.

• Understanding of standards for chart completion.

• Maintains Continuing Education credits in line with AHIMA and/or AAPC requirements based on certification(s).

• Knowledge of medical-legal rules and regulations regarding confidentiality and the release of medical information.

• Must uphold complete confidentiality of all patient records.

• Comfortable collaborating with AR teams to resolve issues.

• Ability to successfully complete a coding assessment.

• Proficient in Microsoft Office applications, including Outlook, Excel, and Teams.

• Capable of multitasking with excellent communication skills.

• Must achieve and sustain a 95% quality accuracy rate and meet productivity standards.

• Experience working in a remote environment is required.

🏝️ Benefits

• 100% Remote.

• Continuing Education credits maintained in accordance with AHIMA and/or AAPC requirements based upon certification(s).