Outpatient Coder II, HB Coding

This is a fully remote position, open to applicants in Illinois, +3 more states.

📋 Description

• Assign the correct ICD-10-CM and CPT-4 codes for various outpatient visit types.

• Conduct comprehensive reviews of medical records and relevant documentation to accurately code diagnoses and procedures.

• Utilize knowledge of anatomy, physiology, clinical disease processes, pharmacology, and medical terminology to interpret health record documentation.

• Issue physician queries when clarification of documentation is necessary.

• Adhere to Coding Clinic guidelines, CPT Assistant, coding conventions, and instructional notes.

• Examine system-related changes and engage in testing software modifications.

• Recognize opportunities for improving computer-assisted coding and inform the IT liaison about filing or code-assignment issues.

• Address NCCI Edits using approved hospital modifiers.

• Leverage 3M Encoder resources to guarantee coding accuracy.

• Clearly explain the rationale for coding choices when required.

• Achieve established coding productivity and quality benchmarks for each outpatient encounter type.

• Code intricate outpatient encounters, including Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed.

⛳️ Requirements

• 3-4 years of coding experience in an acute healthcare environment.

• Credentialed as RHIT, RHIA, or CCS.

• Certified by the AHIMA (American Health Information Management Association).

• Complete 20-30 continuing education credits biennially to maintain credentials.

• Capable of working with minimal supervision.

• Proficient in ICD-10-CM diagnosis coding, HCPCS, CPT codes, and modifiers.

• Familiar with anatomy, physiology, clinical disease processes, pharmacology, and medical terminology.

• Knowledgeable in HCPCS Level I and II, Chargemaster, CPT soft codes, approved facility modifiers, NCCI Edits, Coding Clinic, CPT Assistant, and 3M Encoder.

• Maintain a minimum coding accuracy of 95%.

• Meet a minimum coding productivity rate of 90%.

• Must reside in Illinois, Indiana, Iowa, Wisconsin, or Missouri.

• Background checks are required for newly hired team members and, occasionally, for internal transfers.

• A bachelor's degree in a related field is preferred.

• 4 years of coding experience in an acute healthcare setting is preferred.

🏝️ Benefits

• Eligibility for a sign-on bonus.

• Tuition reimbursement.

• Loan forgiveness options.

• 401(k) matching contributions.

• Lifecycle benefits.

• Benefits that support physical, emotional, and financial wellness.

• Coverage for unexpected life events.