Outpatient Coder-(Remote)

6 hours ago

United States Shuvel Digital Full time

Outpatient Coder
Remote

Job Description:
The Outpatient Coder is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare & Medicaid Services (CMS) directives across network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.

This is a remote position.

Responsibilities
A day in the life of an Outpatient Coder IV includes:

  • Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.
  • Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
  • Analyzes medical records and identifies documentation deficiencies.
  • Reviews and verifies documentation supports existing diagnoses, procedures and other charges.
  • Identifies reportable elements, complications, and other quality measures.
  • Communicates with physicians to clarify information via the physician query process
  • Assign CPT, HCPCS and ICD-10-CM codes.
  • Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
  • Maintains required productivity and quality requirements.
  • Other duties and/or projects as assigned.
  • Adheres to Organizational competencies and standards of behavior.


Qualifications
Education, Knowledge, Skills and Abilities Required:

  • High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
  • Minimum of 3+ years of coding experience, Trauma Level 1 and Academic Teaching facility.
  • Strong understanding of physiology, medical terms and anatomy.
  • Proficiency in computer skills including typing speed and accuracy.
  • Excellent written and verbal communication skills.
  • Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
  • Proficient in coding Ancillary Accounts such as Diagnostic Radiology and Cardiology
  • Proficient in coding Emergency Department and Infusion based services such as Oncology.
  • Proficient in coding Observation and Procedure Room such as Endoscopies and Cardiac Cath.
  • Proficient in coding all outpatient services especially Operating Room procedures.


Licenses and Certifications Required:

  • Certified in at least one of the following: American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC)

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