Coder, Outpatient

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

📋 Description

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

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

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

• Communicate with providers to clarify documentation and ensure the correct assignment of diagnoses, procedures, and facility E/M levels.

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

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

• Interact in a courteous and professional manner with visitors, co-workers, physicians, and hospital staff.

• Uphold patient confidentiality in line with hospital policy and legal/industry standards.

• Support hospital objectives and the overall approach to patient care.

• Participate in regular training sessions aimed at enhancing patient and customer communications.

• Prioritize and manage various duties amidst shifting assignments, priorities, and deadlines.

• Share knowledge of procedures and techniques.

• Conduct qualitative analysis of records in accordance with regulatory standards and coding requirements.

⛳️ Requirements

• RHIT, RHIA, CEDC, COC, CPC, CCS-P, or CCS credentials.

• A minimum of three years of coding experience.

• Experience in a remote working environment is essential.

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

• Familiarity with federal and state regulations concerning reimbursement.

• Proficient understanding of hospital information systems, electronic medical record systems, and encoders.

• Knowledge of standards for chart completion.

• Maintain Continuing Education credits as per AHIMA and/or AAPC requirements based on certifications.

• Understanding of CPT/HCPCS and ICD-10-CM guidelines.

• Working knowledge of medical-legal rules and regulations governing confidentiality and the release of medical information.

• Commitment to maintaining total confidentiality of all patient records.

• Comfortable collaborating with AR teams to resolve issues.

• Ability to pass a coding assessment.

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

• Excellent communication skills with the ability to manage multiple tasks.

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

🏝️ Benefits

• Comprehensive health and wellness benefits, including medical, dental, vision, life insurance, and both short and long-term disability coverage.

• Health Savings Account (HSA) with employer contributions.

• Flexible spending accounts for healthcare and dependent care expenses.

• Wellness platform offering premium incentives.

• Employee assistance support services.

• Additional voluntary supplemental plans, including accident, critical illness, hospital indemnity, and child disability insurance.

• Generous and flexible paid time off options.

• Company-paid holidays.

• 401(k) plan with discretionary employer matching opportunities.

• Opportunities for professional development.

• Equipment provided by the company.