Outpatient Coder III

Location

United States

Posted

5 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Outpatient Coder III

Health First Careers

Role Description To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement. - Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient records as per coding guidelines. - Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider documentation. - Literacy and proficiency in computer technology specifically related to health information and coding applications utilized for daily job performance. - Interpret clinical documentation to ensure codes reported are clearly and consistently supported by the health record. - Request clarification from provider when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element. - Abstract pertinent information accurately and completely into the computer assisted coding application. - Maintain coding quality and productivity as per departmental standards. - Competent in analyzing medical necessity of codes assigned utilizing and applying local and national coverage determination regulations and guidelines. - Responds timely to pre-bill edits received ensuring a prompt turn-around-time to assist in facilitating an efficient revenue cycle. - Communicates professionally identified discrepancies, documentation issues, denial management issues and coding concerns in the medical record to the appropriate department and/or leader. - Stays up to date with regulatory changes by completing all mandatory educational accountabilities in a timely manner. - Attends department meetings and other outpatient meetings as scheduled. - Accurate and ethical time and attendance recording ensuring non-productivity logs are completed and submitted by deadline set. - Provide departmental coding coverage by cooperating with occasional schedule revisions and overtime requests when staffing needs arise assisting with maintenance of discharge not final coded (DNFC) departmental goals. - Maintain and observe patient confidentiality as outlined in the National Patient Safety Goals and HIPAA guidelines. Qualifications - Education: High School Diploma or equivalent. - Work Experience: Three (3) years outpatient coding experience. - Licensure: None - Certification: None - Skills/Knowledge/Abilities: - Competent in understanding medical terminology. - Basic understanding of anatomy and physiology. - Excellent communication, problem solving and critical thinking skills. - Utilize critical thinking skills and formulate logical decisions to apply clinical coding guidelines to health record documentation. - Strong written and oral communication skills for professional interaction. - Excellent computer and telephone skills. - Ability to read and comprehend instructions, correspondence, memos, and electronic mail. - Must be detail and accuracy oriented. - Ability to coordinate and use logical reasoning to facilitate daily workflow assignments. - Ability to multi-task. - Ability to work independently maintaining focus on scope of work assigned. Requirements - Work Experience: Five (5) years outpatient coding experience. - Certification: Any one of the following: - American Health Information Management Association (AHIMA) - American Academy of Professional Coders (AAPC) Physical Requirements - Majority of time involves sitting or standing; occasional walking, bending, and stooping. - Long periods of computer time or at workstation. - Light work that may include lifting or moving objects up to 20 pounds with or without assistance. - May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise. - Communicating with others to exchange information. - Visual acuity and hand-eye coordination to perform tasks. - Workspace may vary from open to confined, onsite, or remote. - May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. Benefits At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates.

Related Categories

Related Job Pages

More Medical Billing and Coding Jobs

CorroHealth logo

Inpatient Coding Specialist, Profee & Facility

CorroHealth

Clinically Led Healthcare Analytics Intelligent Technology to Improve your Financial Health

Full TimeRemoteTeam 5,001-10,000H1B Sponsor

• Provide various components of coding services to support our clients. • Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10, CPT, and HCPCS codes. • Recognize critical care cases by patient acuity. • Experience in both professional and facility inpatient coding. • Apply ICD-10-CM diagnosis codes to the highest level of specificity available. • Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS. • Interpret coding guidelines for accurate code assignment. • Identify the importance of documentation on code assignment and the subsequent reimbursement impact. • Must maintain quality and productivity standards. • Communicate with clients in a professional manner that fosters an excellent working relationship to support the company and its business interests. • May assist Leadership, or Lead Coding Specialist, with reports as needed. • Potential opportunity to begin helping with auditing.

United States

Role Description This position is in the Health Information Management Section of Medical Administration Service (MAS) at the Central Texas Veterans Health Care Medical Center (CTVHCS). Supervisory MRTs (Coder) are responsible for supervision, administrative management, and direction of coding staff at the facility level. They are responsible for program management of a coding section/unit to ensure performance monitors are established and met. - Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. - Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases Coding Modification (ICD-10-CM) and International Classification of Diseases Procedure Coding System (ICD-10-PCS). - Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding. - Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. - Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture. - Develops performance standards and conducts performance evaluations for subordinate staff. - Schedules the sequence of work and operations on a weekly, monthly and quarterly basis to assure even workflow and distribution. - Coordinates with other Service representatives on matters concerning health record documentation and coding. - Analyzes and recommends improvements in documentation systems used to provide patient care. Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or related degree with a minimum of 12 semester hours in health information technology/health information management. - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have one of the certifications below: - Apprentice/Associate Level Certification through AHIMA or AAPC. - Mastery Level Certification through AHIMA or AAPC. - Clinical Documentation Improvement Certification through AHIMA or ACDIS. - English Language Proficiency: MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Requirements - GS-10: Experience equivalent to the next lower grade level (GS-9) including performing all duties of a MRT (Coder). - Demonstrated Knowledge, Skills, and Abilities: - Ability to perform a full range of supervisory duties. - Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS. - Ability to provide or coordinate staff development and training. - Leadership and managerial skills, including skill in interpersonal relations and conflict resolution. - Ability to collect and analyze data, identify trends, and present results in various formats. Benefits - Work Schedule: Monday - Friday; 8:00 - 4:30pm - Virtual: This is not a virtual position. - Remote: This position is Remote 100% Outside the Area (Contingent upon final approval from the VA COO). - Relocation/Recruitment Incentives: Not Authorized - Permanent Change of Station (PCS): Not Authorized Physical Requirements - The work is sedentary. Some work may require movement between offices, hospitals, warehouses, and similar areas for meetings and to conduct work. - Incumbent may carry and lift light items weighing less than 15 pounds.

United States
$68.0K / year
Baylor Scott & White Health logo

Coding Coordinator

Baylor Scott & White Health

Baylor Scott & White Health, formerly known as Baylor Health Care System, is a leading Texas-based nonprofit healthcare system. Baylor Scott & White Health was

Title: Coding Coordinator Location: Remote, United States Work Arrangement: 100% Remote Employment Type: Full-time (Day Shift) Job Description: About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: - We serve faithfully by doing what''s right with a joyful heart. - We never settle by constantly striving for better. - We are in it together by supporting one another and those we serve. - We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary The Coding Coordinator monitors operations, functions, workflow, and services by third-party suppliers for HIM Coding. The Coding Coordinator works with the Coding Manager and physicians to ensure timely, complete documentation. Third-party suppliers must complete assignments per the Master Services Agreement and related Statements of Work. Work Model & Salary 100% Remote The pay range for this position is $32.02 (entry-level qualifications) - $49.62 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior coding and leadership experience. Essential Functions of the Role - Acts as a service area liaison between Baylor Scott and White Healthcare, providers, and third-party suppliers. Eliminates roadblocks, resolves issues, achieves optimization, improves processes, and develops cost-saving measures. - Use key performance metrics to track services for areas of responsibility. Monitor supplier compliance with Key Performance Indicators (KPIs) and Critical Performance Indicators (CPIs). - Effectively communicates findings of potential issues to Manager or Director. - Assists in the development of policies, procedures, and standard processes for areas of responsibility. - Educates physicians, clinicians, and others on coding, guidelines, and documentation improvement. Works with physicians to ensure accurate and complete documentation. - Assists in the development of materials utilized in educational activities. - Reviews and stays abreast of new regulations and coding guidelines. - May perform routine coding quality reviews on coders and/or auditors including third-party suppliers as needed. - Maintains and protects the confidentiality of patient protected health information, serving as a role model by demonstrating effective customer relations. Key Success Factors - Expertise in ICD-10 diagnosis and CPT procedural coding. - Critical thinking skills to review documentation and apply coding and documentation guidelines. - Outstanding communication skills to keep others well informed and encourage open dialogue. - Ability to perform in a team environment. Seeks the win-win situation and builds relationships. Belonging Statement We believe that all people should feel welcomed, valued and supported. QUALIFICATIONS - EDUCATION - Associate''s or 2 years of work experience above the minimum qualification - EXPERIENCE - 4 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - - Cert Coding Specialist (CCS) - Cert Coding Spec Physician Bas (CCS-P) - Cert Inpatient Coder (CIC) - Cert Interv Radiology CV Coder (CIRCC) - Cert Outpatient Coder (COC) - Cert Professional Coder (CPC) - Reg Health Info Administrator (RHIA) - Reg Health Information Technic (RHIT)

United States
$32 - $49 / hour
Full TimeRemoteTeam 1,001-5,000Since 1905H1B No Sponsor

• Ensure the accuracy of charges and diagnoses selected by Meritus Health practitioners • Review provider documentation and assign appropriate ICD‑10‑CM , CPT , and E&M codes • Serve as a coding resource and liaison for assigned physician practices • Deliver provider/practitioner education as needed • Ensure adherence to Official Coding Guidelines , CPT Assistant , and organizational standards • Maintain confidentiality and uphold high professional and ethical standards

Maryland
$20 - $31 / hour