The university is an equal opportunity employer, including veterans and disability.
Outpatient Medical Coder 2
Location
United States
Posted
16 hours ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Outpatient Medical Coder 2
The Ohio State University
Role Description The position is primarily responsible for coding of medical records and other documents at the conclusion of the patient’s visit. This requires the selection of appropriate admitting diagnosis, first listed and secondary diagnoses, and sequencing diagnoses and procedures. Codes flow from the Encoder Software to EPIC/IHIS Resolute Billing system. This staff member is responsible for complete and accurate coding for hospital reimbursement, research, and planning, in accordance with productivity and quality standards set for the department, and maintaining an approved work schedule. Qualifications - High School diploma or GED. - Certification or vocational training may be preferred. - Credentialed as a Registered Health Information Technician, Registered Health Information Administrator, Certified Coding Specialist by the American Health Information Management Association, or Certified Outpatient Coder by AAPC if managing hospital coding. - ROCC if only coding Radiation Oncology. - RHIA, CCS, COC or CPC by AAPC if managing professional coding. - 1 year of relevant experience required. - 2-4 years of relevant experience preferred. Requirements - Final candidates are subject to successful completion of a background check. - A drug screen or physical may be required during the post offer process. Benefits - Remote Location - Regular Position Type - Scheduled Hours: 40 - Shift: First Shift
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Medical Coder - Hospitalist
UnitedHealth GroupUnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Role Description You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. - Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts - Assigns CPT and ICD-10 codes to all services - Monitors assigned work queues to ensure all records are charged/coded in a timely manner - Generates coding queries for clarification regarding physician documentation as needed - Stays abreast of all changes in coding conventions and coding updates - Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision - All other duties as assigned Qualifications - High School Diploma/GED - Professional coder certification with credentialing from AHIMA and/or AAPC (CPC-A, RHIT, RHIA, CCA, CPC, COC, CPC-P, CCS) to be maintained annually - 2+ years of experience with PCs in a Windows environment, including MS Excel and EMR systems - 2+ years of experience with ICD-10 and CPT coding with a focus in Hospitalist Requirements - 2+ years of post-certification medical coding experience - 2+ years of Outpatient Physician coding (Pro-Fee) experience - Experience with EMR systems (Epic) Benefits - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
Emergency Specialist
AGORAUNICEF works in over 190 countries and territories to save children’s lives, defend their rights, and help them fulfill their potential, from early childhood through adolescence. UNICEF is committed, passionate, and proud of what we do for as long as we are needed. Promoting the rights of every child is not just a job – it is a calling. UNICEF promotes and advocates for the protection of the rights of every child, everywhere, in everything it does UNICEF's global workforce must reflect the diversity of those children UNICEF encourages applications from all qualified candidates, regardless of gender, nationality, religious or ethnic backgrounds, and from people with disabilities
Role Description The Emergency Specialist will support the strengthening of EMOPS Humanitarian Field Support Section (HFSS) humanitarian information, reporting, and coordination systems, as well as contribute to the development of an overarching framework for rapid response mechanisms and emergency actions in newly emerging crises. - Support the strengthening of HFSS data management and reporting. - Contribute to the quality assurance and standardization of EMOPS weekly updates and internal reporting tools. - Provide targeted desk support based on the urgency of requests and identified gaps. - Lead the desk review and initial analytical phase for the development of an overarching framework to guide the establishment and functioning of Rapid Response Mechanisms (RRM). Qualifications - Advanced University degree in social sciences, public administration, law, public health, nutrition, international relations, business administration, or related disciplines. - Preferably a combination of management, administration, and relevant technical fields. Requirements - Three years of progressively responsible professional work experience at the national and international levels in programme/project development, communication, advocacy, and partnership activities. - Experience in producing high-quality communication materials (e.g., reports, articles, press releases, human interest stories). - Developing country work experience or field work experience. - Strong analytical and writing skills, with the ability to synthesize complex information into clear communication products, reports, briefs, and presentations. - Fluency in English is mandatory; fluency in another UN language is an asset. Benefits - Exposure to HQ emergency preparedness and response decision-making processes. - Direct experience with L2 and L3 country contexts. - Engagement with humanitarian reporting systems. - Development of critical skills in analytical writing, synthesis, and drafting. - Exposure to cross-division collaboration at HQ level.
• Accurately coding diagnoses, procedures and other services to ensure medical records and billing are accurate • Work with providers to ensure documentation is clear and complete and result in accurate coding • Review all claim edits and correct errors in a timely fashion • Code for practice and hospital charges for all departments supported by the Professional Billing Office
Role Description Avail Health is a rapidly growing value-based care company delivering comprehensive, technology-enabled care programs to Medicare patients with complex medical, behavioral health, and social needs. Our care model spans a range of clinical programs including Comprehensive Diagnostic Assessments (CDAs), Health Risk Assessments (HRAs), and Integrated Care Programs (ICPs), all designed to address the whole-person needs of high-risk Medicare beneficiaries. As Avail Health continues to scale its clinical programs, we are seeking an experienced Risk Adjustment & Coding Expert to serve as a trusted fractional advisor to our clinical and operational leadership team. This role sits at the intersection of clinical documentation, Medicare coding compliance, and program-level performance—supporting our mission to deliver high-quality, accurately documented care that reflects the true complexity of our patient population. The Risk Adjustment & Coding Expert will: - Advise clinical leaders on proper HCC (Hierarchical Condition Category) coding practices. - Ensure documentation integrity across Avail's care programs. - Drive ongoing workflow design, policy development, and process improvement to support accurate and compliant risk adjustment coding. - Function as a subject-matter expert embedded within Avail's interdisciplinary team structure. This is a startup-style healthcare environment where subject-matter experts are expected to be hands-on, pragmatic, and solutions-oriented. The ideal candidate brings deep Medicare Advantage risk adjustment expertise, strong knowledge of CMS coding guidelines, and a track record of building scalable coding education and quality programs within complex care or value-based care organizations. Qualifications - Must have Certified Risk Adjustment Coder (CRC); Certified Professional Coder (CPC) also highly desirable. - Minimum 5 years of experience in Medicare risk adjustment coding, HCC coding, or clinical documentation improvement (CDI) required. - Deep knowledge of ICD-10-CM coding guidelines, CMS HCC models (V24, V28), and Medicare Advantage risk adjustment methodology. - Experience working in value-based care, Medicare Advantage, population health, or complex care management environments strongly preferred. - Prior experience advising clinical providers (NPs, MDs, RN Care Managers) on coding and documentation practices. - Experience designing or delivering coding education and training programs for clinical teams. - Familiarity with CDAs, HRAs, Annual Wellness Visits (AWVs), and Transitional Care Management (TCM) coding preferred. - Experience with RADV audits, coding compliance programs, and risk adjustment quality initiatives preferred. - Proficiency with EMR platforms, coding tools, and documentation review workflows. - Ability to work independently in a fractional/part-time capacity with strong self-direction and accountability. Requirements - Perform audits on existing coding staff. - Serve as the primary coding and risk adjustment subject-matter expert for Avail Health clinical leaders and frontline clinicians across CDAs, HRAs, and ICPs. - Advise Nurse Practitioners, Physicians, and RN Care Managers on accurate ICD-10-CM coding, HCC capture, and documentation requirements to support proper Medicare risk adjustment. - Review clinical encounter documentation and provide real-time feedback on coding accuracy, specificity, and completeness. - Identify coding gaps, missed HCC capture opportunities, and documentation deficiencies across care programs and patient populations. - Provide guidance on condition-specific coding requirements for high-prevalence chronic conditions within Avail's patient population (e.g., diabetes, CHF, COPD, CKD, behavioral health diagnoses). - Partner with clinical and operational leadership to design and implement coding workflows integrated into Avail's care program delivery model. - Develop and maintain coding and documentation policies, guidelines, and standard operating procedures (SOPs) aligned with CMS requirements and Medicare Advantage risk adjustment best practices. - Support the development of documentation templates, encounter coding checklists, and structured data capture tools within the EMR and care coordination platforms. - Define escalation pathways and quality review workflows for coding discrepancies, queries, and corrections. - Design and deliver ongoing coding education and training programs for Avail's clinical team, including onboarding content for new clinicians and refresher training for existing staff. - Develop program-specific coding guides, quick-reference tools, and clinical documentation resources for CDAs, HRAs, and ICPs. - Partner with the VP of Care Delivery and Medical Director to integrate coding best practices into clinical workflows, quality reviews, and care team huddles. - Support providers in navigating complex coding scenarios including dual diagnoses, behavioral health coding, and social determinants of health (SDOH) documentation. - Conduct coding audits and documentation reviews across a sample of clinical encounters to assess coding accuracy, completeness, and compliance with CMS and Medicare Advantage plan requirements. - Track and report on coding quality metrics, HCC capture rates, and risk adjustment performance trends to clinical and operational leadership. - Identify opportunities for process improvement related to risk adjustment documentation and coding workflows, and lead structured improvement initiatives. - Stay current on CMS HCC model updates, Medicare Advantage coding guidelines, and regulatory changes affecting risk adjustment; proactively communicate relevant changes to the team. - Support preparation for coding audits, RADV (Risk Adjustment Data Validation) reviews, and compliance activities as needed. - Provide targeted coding and documentation guidance specific to the clinical workflows and patient populations within each of Avail's core care programs. - Support alignment between CDA, HRA, and ICP documentation requirements and risk adjustment coding capture to ensure program integrity and compliance. - Collaborate with care program managers and clinical leads to embed coding best practices into program design, clinician onboarding, and ongoing quality oversight. Benefits - Fully remote/work from home supporting a fully distributed team across the US. - This is a fractional / part-time independent contractor (1099) engagement. - Hours and scope are flexible and will be defined collaboratively based on Avail Health's program needs. - Anticipated commitment ranges from 5 to 20 hours per week depending on program maturity, project phases, and organizational priorities. - Compensation will be commensurate with experience and engagement scope.

