Outpatient Acute Care Coder – Emergency

This is a fully remote position, open to applicants in Illinois, +1 more state.

📋 Description

• Responsible for accurately assigning diagnostic and procedural codes to patient charts of moderate to high complexity utilizing ICD-10-CM, ICD-10-PCS, CPT, HCPCS, or any other designated coding classification system in accordance with established coding rules and regulations.

• Adheres to the Standards of Ethical Coding as outlined by AHIMA.

• The Outpatient Coder will review hospital outpatient medical documentation or physician medical records to assign, sequence, edit, and/or validate the appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient encounters to ensure accurate coding, billing, and compliance.

• Will align outpatient coding areas with experience (e.g., Same Day Surgery, Routine Outpatient, Physician, Recurring, Observation, etc.).

• Evaluates encounters to assign and sequence the appropriate diagnoses and/or procedure codes along with modifiers for diagnostic, physician, and/or surgical encounters in line with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software, and HIM coding policies and procedures.

• Utilizing the 3M encoder, reviews Ambulatory Payment Classifications (APC) and coding edits.

• Analyzes Local/National Coverage Determination (LCD/NCD) edits and guidance for codes that fulfill medical necessity.

• Investigates electronic medical records for any additional diagnoses documented to satisfy medical necessity.

⛳️ Requirements

• One to three years of experience in medical record coding within an acute care setting is required.

• A high school diploma or equivalent is mandatory.

• An associate's or bachelor’s degree in Health Information, Nursing, or a related field, or the completion and passing of formal coding classes is preferred.

• Years of coding experience may be considered in place of educational qualifications.

• Functional knowledge of EMR (Electronic Medical Record), Encoder, CDI Tools, and other support software is essential.

• A comprehensive understanding of UHDDS guidelines, CCI Edits, and Coding Clinic is required.

• Proficient in Microsoft Office (Word, One Note, Excel, Outlook, PowerPoint).

• Excellent verbal and written communication skills are a must.

• Ability to meet assigned deadlines is essential.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and career advancement.

• Supportive work environment with a collaborative team.

• Comprehensive healthcare coverage.

• Retirement savings plan.

• Paid time off and flexible scheduling options.

• Student loan repayment program.