Outpatient Coding Specialist

4 weeks ago


Melbourne, Florida, United States Health First Full time
Job Summary

We are seeking a highly skilled Outpatient Coder III to join our team at Health First Shared Svcs Inc. The successful candidate will be responsible for providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement.

Key Responsibilities
  • Maintain and observe patient confidentiality as outlined in the National Patient Safety Goals and HIPAA guidelines.
  • Ensure that all work areas and equipment are in safe and working condition.
  • Interpret clinical documentation to ensure codes reported are clearly and consistently supported by the health record.
  • Maintain coding accuracy as per departmental standards.
  • Notify medical records/registration personnel of any identified discrepancies of patient information in the medical record.
  • Attend department meetings, coding roundtables, and departmental educational opportunities.
  • Earn 7 CEU's yearly related to coding profession.
  • Review Coding Clinic for ICD 10 quarterly updates and complete coding clinic quizzes.
  • Provide professional and courteous communication to customers, families, physicians, other associates, and leadership at all times.
  • Respond and relay documentation/coding issues and concerns from and to Health First departments and physician's offices in a polite and considerate demeanor.
  • Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
  • Maintains productivity standards according to departmental guidelines.
  • Meets discharged not final coded (DNFC) departmental goals.
  • Responds timely to pre-bill edits received ensuring a prompt turn-around-time to assist in facilitating an efficient revenue cycle.
  • Analyze and reply to denial management issues presented identifying documentation concerns and validating accuracy and completeness in code assignment.
  • Provide departmental coding coverage by cooperating with occasional schedule revisions and overtime requests when staffing needs arise.
  • Accountable and dependable time and attendance record to ensure daily workflow and departmental productivity guidelines are met.
Requirements
  • Education: High School Diploma
  • Work Experience: 3 years outpatient coding experience.
  • Licensure: N/A
  • Knowledge/Skills/Abilities:
  • ICD-10 CM/PCS and CPT-4 Official Coding Guidelines
  • AMA Coding Clinics for ICD10, AMA Coding Clinic for HCPCS, AMA CPT Assistant, National Correct Coding Initiative edits, National and Local Coverage Determinations
  • Medical terminology
  • Anatomy and physiology
  • Computer Applications
Preferred Qualifications
  • Certification (AHIMA or AAPC)
  • 4 years outpatient coding experience
  • Successful completion of internal outpatient coding assessment with passing score of at least 85%.


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