Outpatient Coder I

1 week ago


Scarborough, United States MaineHealth Full time

Summary

  • Position Summary
    • 100% Remote work This is the first level of a 4-tier career path. Under the general direction of the Coding Director, this position is responsible for the accurate assignment of ICD-9-CM (ICD-10-CM) and CPT-4 coding of diagnoses and procedures for outpatient medical records including Outpatient Hospital Clinics, ASU, IV Therapy, Emergency Department and other areas as needed; abstracting to determine accuracy and completeness of the outpatient record utilizing 3M Coding Reimbursement and/or Optum, and Epic Systems to compile data. The Coder I evaluates medical necessity and Correct Coding Initiative edits and resolves them. Data reported is used to meet licensure requirements, statistical purposes and reimbursement purposes.
  • Required Minimum Knowledge, Skills, and Abilities (KSAs)
    • Education: Associates degree in a science field strongly preferred with completion of an accredited program through AHIMA or AAPC.
    • License/Certifications: CCA, CCS, RHIT, RHIA and/or Certified Professional Coder (CPC), or CPC-A credential required.
    • Experience: Completion of the MH Coder I apprenticeship program or 1-2 years' experience coding in an outpatient setting using 3M Coding and/or Optum Reimbursement encoder and CAC products. Utilization of Epic EMR system is preferred.
    • Proficiencies: Demonstrated, applied knowledge of ICD-9-CM (ICD-10-CM) and CPT-4 coding guidelines and principles required.
    • Specialized Knowledge: Ability to apply broad guidelines to specific coding situations, independently, utilizing discretion and a significant level of analytical ability. Good understanding of Anatomy and Physiology as well as Pharmacology.
Additional Information

With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family. MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.

Additional Information

MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.org

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