Coding Specialist II

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

📋 Description

• Evaluate provider documentation in Epic to ensure it is accurate, complete, and adheres to professional-fee coding standards.

• Initiate and oversee provider documentation inquiries via Epic In Basket or Outlook.

• Assign CPT, ICD-10-CM, and HCPCS codes in accordance with federal, state, payer, and coding regulations.

• Ensure prompt charge capture and rectify coding edits for precise claim submissions.

• Coordinate billing details and confirm charges prior to submission.

• Input and maintain coding and billing data in Epic and other relevant systems.

• Achieve and uphold a coding accuracy of 95% or higher, with productivity ranging from 8 to 15 codes per hour.

• Complete assigned tasks within designated turnaround times and departmental guidelines.

• Address coding, documentation, and billing concerns with providers.

• Act as a resource on professional billing policies and documentation standards.

• Stay updated on CMS, AMA, CPT, ICD-10, HCPCS, payer, and regulatory changes.

• Relay coding, billing, and regulatory updates to providers and colleagues.

• Assist with process modifications, coding quality evaluations, compliance initiatives, and ongoing education efforts.

• Identify areas for enhancing coding quality, compliance, workflow efficiency, and reimbursement.

• Support billing personnel, resolve coding-related claim discrepancies, and address coding inquiries.

• Carry out additional duties as assigned.

⛳️ Requirements

• High school diploma or GED.

• At least two years of experience in professional fee coding within a hospital or healthcare environment.

• Completion of a medical records coding program from an accredited institution or a comparable mix of education, training, and experience.

• Proficient knowledge of CPT, ICD-10-CM, HCPCS, and pertinent coding and reimbursement regulations.

• Strong understanding of medical terminology.

• Proficient in Epic, Microsoft Word, and Microsoft Excel.

• Exceptional communication skills and the ability to collaborate effectively with clinicians, billing staff, and administrators.

• Capability to work independently and meet productivity and turnaround expectations.

• Current Certified Professional Coder (CPC) certification is mandatory.

• Active coding certification from AAPC or AHIMA, including RHIA, RHIT, CCS, CPC, or an equivalent credential.

• Ability to perform job responsibilities with or without accommodation.

🏝️ Benefits

• Primarily remote work setting.

• Flexible working hours tailored to departmental requirements and manager endorsement.

• Opportunities for growth and advancement within OHSU's network of hospitals and clinics.

• Union representation through AFSCME.