Outpatient Coding Auditor

iMedX has an immediate opening for a part-time employee Outpatient Coding Consultant with a strong background to perform advice cases.  This is a remote (work-from-home) job.  The potential exists for this to progress to a full-time position based on client needs and other operational factors.

Purpose

The Outpatient Coding Consultant reviews clinical information from health records and audits for accurate and complete ICD-10-CM and CPT-4 codes in accordance with Official Guidelines for Coding and Reporting, iMedX guidelines, and facility guidelines as appropriate.  Reviews facility records for accuracy and completeness of APC-reimbursed ICD-10CM and CPT coding assignment.

Organizational Structure:  The Outpatient Coding Consultant reports to the Core Measure and Registry Manager.

Key Responsibilities:

1. Reviews relevant clinical information from the health record with a focus on correct coding assignment.
2. Identifies the principal and secondary diagnoses based on the Outpatient Coding Guidelines.
3. Assigns ICD-10-cm codes to the first-listed and secondary diagnoses.
4. Identifies procedures-based Outpatient Coding Guidelines.
5. Validates facility-assigned ICD-10-cm diagnosis codes and CPT procedure codes.
6. Complies with the Clinical Coding Initiative (CCI) edits when assigning CPT-4 codes.
7. Performs coding reviews in an efficient and productive manner, utilizing good time management and professional work habits.  Meets productivity standards for position.
8. Refers coding questions to a manager or manager's designee in a timely manner for feedback and coding guideline development.
9. Continually enhances coding skills.  Participates in team meetings and educational conferences to ensure coding practice remains current.
10. Maintains confidentiality and safeguards the privacy of protected health information (PHI).
11. Promotes the Company’s values.
12. Performs other job related duties as may be assigned or required.

Education:   Completion of a formal coding program.  Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or other AHIMA or AAPC approved coding credential preferred.  

Experience:   Minimum of five years’ coding work experience; two years of coding-review experience and coder education experience; experience encompassing working knowledge of the ICD-10-CM and CPTcoding systems; medical terminology; anatomy and physiology; and health record content. Fluent coding in multiple types of records: outpatient (ER, diagnostic, injections/infusions or observations) and ambulatory surgery.  Must have Windows 11 and high-speed internet.

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