Lead Certified Outpatient Hospital/Facility Coding Specialist

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

📋 Description

• Assign primary diagnosis and procedural codes for specific ambulatory and hospital outpatient environments.

• Examine medical records to pinpoint diagnoses and procedures that necessitate code assignment.

• Precisely code diagnoses and procedures following ICD-10 coding standards for reimbursement, research, and regulatory compliance.

• Assess records for diagnostic and procedural specificity, ensuring appropriate reimbursement for both hospital and professional services.

• Consult with physicians when documentation is insufficient, ambiguous, unclear, or when coding assignments are complex.

• Stay updated on coding and reimbursement reporting guidelines and report any concerns to the Coding Manager.

• Assign ICD-10-CM, modifiers, and HCPCS codes to outpatient documentation.

• Maintain a coding accuracy rate of 92% to 95% for ICD-10-CM and/or HCPCS while meeting established productivity standards.

• Mentor and train newly onboarded Coders, providing ongoing training for the Coding staff.

• Assist the Coding Manager with special coding tasks and resolution of unbilled issues.

• Act as a resource for coding-related inquiries from Coding staff.

• Adhere to AHIMA Standards of Ethical Coding and official coding guidelines.

• Ensure compliance with Memorial Hermann policies, procedures, safety standards, productivity requirements, and quality-of-service expectations.

• Foster professional growth, support departmental objectives, and guide less experienced staff as a preceptor, mentor, and resource.

• Perform additional duties as assigned.

⛳️ Requirements

• High School Diploma or GED is required.

• An Associate's degree in Health Information Management or any Healthcare Related Field is preferred.

• RHIT, RHIA, or relevant coding certification(s) from AHIMA or AAPC is required.

• A minimum of six (6) years of coding experience in hospital outpatient or ambulatory settings.

• Experience coding in a level 1 trauma facility or academic teaching institution is preferred.

• Strong oral and written communication skills are essential.

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

• Analytical skills to evaluate health record data and assign the correct codes.

• Thorough understanding of human anatomy, physiology, medical terminology, and surgical terminology.

• Critical thinking abilities, sound judgment, and decision-making skills.

• Familiarity with coding compliance policies, official coding guidelines, regulatory requirements, and internal practices.

• Proficient in navigating a Windows-based application environment.

🏝️ Benefits

• Support for mandatory/continuing education and skills competency.

• Opportunities for professional growth and development.

• Mentoring and preceptor roles available.

• An employee-focused culture that emphasizes care, recognition, and value.