Coder – Outpatient

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

📋 Description

• Evaluate clinical documentation and diagnostic outcomes to extract relevant data and apply the correct ICD-10-CM and ICD-10-PCS codes.

• Implement reimbursement strategies on assigned charts to enhance reimbursement and/or address regulatory edits.

• Address billing-process error reports, recognize error trends, and support workflow modifications to minimize billing mistakes.

• Examine inpatient records to identify and allocate diagnosis and procedure codes.

• Leverage Care Connect, UDS, and Clintegrity systems to acquire ICD-10 codes and DRG assignments.

• Develop compliant Physician Coding Queries when documentation is insufficient, ambiguous, or unclear.

• Rectify failed claim errors, billing edits, misclassified accounts, and other errors identified during audits.

• Provide assistance to physicians and clinical quality teams regarding documentation enhancements, coding reimbursement challenges, and quality improvement assessments.

⛳️ Requirements

• One of the following certifications is mandatory: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder Hospital Based (CPC-H), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder Apprentice (CPC-A), or a specialty coding certification.

• Candidates holding an Associate degree from an accredited American Health Information Management Association (AHIMA) program must take the Registered Health Information Technician (RHIT) exam within one year of hiring.

• A minimum of 2 years of progressive coding experience in a hospital or multi-specialty physician practice environment is preferred.

• Full CPC certification must be achieved within 24 months for employees holding CPC-A from the American Academy of Professional Coders (AAPC) at the time of hiring.

• For HOMECARE: Homecare Diagnosis Coding Specialist (HCS-D) certification is required within 16 months of hire.

• Grandfather Clause: If hired on or before September 30, 2018, 2 years of relevant work experience along with one of the specified coding certification credentials and an Associate’s degree in Health Information Management are necessary.

• AS: Health Information Management (Required).

• Expertise in Care Connect, UDS, and Clintegrity systems.

• Familiarity with ICD-10-CM and ICD-10-PCS coding, reimbursement strategies, official coding guidelines, and AHIMA Standards of Ethical Coding.

• Capacity to meet departmental productivity standards with 95% accuracy.

• Competence in formulating compliant Physician Coding Queries.

• Ability to perform sedentary work, including extended periods of sitting and computer-based fine motor tasks.

🏝️ Benefits

• Competitive salary

• Health insurance options

• Retirement savings plans

• Continuing education opportunities