Outpatient Coder

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

📋 Description

• Evaluate clinical documentation and diagnostic results to extract data and implement ICD-10-CM and ICD-10-PCS coding.

• Utilize reimbursement methodologies on assigned charts to enhance reimbursement and address regulatory edits.

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

• Analyze inpatient record documentation to determine and assign diagnosis and procedure codes.

• Achieve departmental productivity standards with 95% accuracy.

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

• Develop compliant physician coding queries when documentation is insufficient, ambiguous, or unclear.

• Rectify failed claim errors, misclassified accounts, and any other inaccuracies identified during auditing processes.

• Collaborate with physicians and clinical quality personnel on documentation improvement opportunities, coding reimbursement concerns, and quality enhancement review processes.

• Comply with AHIMA Standards of Ethical Coding and official coding guidelines; maintain up-to-date knowledge of coding changes and code interpretation.

⛳️ 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.

• An Associate degree in Health Information Management is required.

• Candidates with an Associate degree from an accredited American Health Information Management Association (AHIMA) must sit for the Registered Health Information Technician (RHIT) exam within one year of employment.

• 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 secured within 24 months if the employee holds CPC-A at the time of hiring.

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

• For the grandfather clause: 2 years of relevant work experience, one listed coding certification, and an Associate’s degree in Health Information Management are required for eligible hires.

• Capability to meet established departmental productivity standards with 95% accuracy.

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

• Understanding of ICD-10-CM and ICD-10-PCS coding, DRG assignment, reimbursement methodologies, official coding guidelines, and AHIMA ethical coding standards.

• Ability to work the specified M–F, 8:00 AM–4:30 PM schedule.

🏝️ Benefits

• Competitive salary and compensation package.

• Opportunities for professional development and continuing education.

• Comprehensive health, dental, and vision insurance.

• Flexible work environment and potential for remote work options.

• Retirement plans with employer matching contributions.