Coder, Outpatient

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

📋 Description

• Allocate ICD-10-CM codes for medical record accounts, encompassing diagnoses.

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

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

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

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

• Aid in resolving basic visit coding errors related to other outpatient visits.

• Exhibit courtesy and professionalism in interactions with visitors, colleagues, physicians, and hospital personnel.

• Uphold patient confidentiality in line with hospital/departmental policies and legal standards.

• Support hospital-defined patient care objectives.

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

• Prioritize and execute diverse tasks amidst changing assignments, priorities, and deadlines.

• Share knowledge of procedures and techniques.

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

⛳️ Requirements

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

• A minimum of three years of coding experience.

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

• Familiarity with federal and state regulations concerning reimbursement.

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

• Knowledge of standards for chart completion.

• Maintain Continuing Education credits as required by AHIMA and/or AAPC based on certifications.

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

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

• Must ensure total confidentiality of all patient records.

• Ability to comfortably collaborate with AR teams to resolve issues.

• Must successfully complete a coding assessment.

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

• Capable of multi-tasking and possessing excellent communication skills.

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

• Experience working in a remote environment is required.

🏝️ Benefits

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

• Health Savings Account (HSA) with employer contributions.

• Flexible spending accounts for health care and dependent care.

• Wellness platform offering premium incentives.

• Employee assistance support services.

• Optional supplemental plans such as 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 match opportunities.

• Opportunities for professional development.

• Equipment provided by the company.