Outpatient Coder-(Remote)

3+ years

Not Disclosed

Remote, USA

10 Nov. 27, 2024

Job Description

Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Outpatient Coder IV (Remote)

Job Overview

The Outpatient Coder IV is responsible for accurately abstracting and coding medical data in compliance with ICD-10-CM, CPT, and HCPCS guidelines, as well as CMS directives. This role involves data entry into electronic medical records, physician queries, and ensuring compliance with reimbursement and regulatory requirements.

Key Responsibilities

Assign codes for reimbursements, research, and regulatory compliance, following established guidelines and conventions.
Code and abstract patient encounters, including diagnostic and procedural information, reportable elements, and complications.
Analyze medical records to identify documentation deficiencies and ensure accuracy.
Verify that documentation supports diagnoses, procedures, and other charges.
Identify reportable elements, complications, and quality measures.
Communicate with physicians to clarify documentation through the query process.
Assign CPT, HCPCS, and ICD-10-CM codes with precision.
Address NCCI edits and NCD/LCD coverage determinations as needed.
Maintain required productivity and quality benchmarks.
Adhere to organizational standards and behavioral competencies.
Perform additional duties and projects as assigned.

Qualifications

Education and Experience:

High school diploma or equivalent (GED).
Minimum of 3+ years of coding experience in a Trauma Level 1 and Academic Teaching Facility setting.
Strong knowledge of medical terminology, physiology, and anatomy.

Skills:

Proficiency in coding for the following areas:
- Ancillary Accounts (e.g., Diagnostic Radiology, Cardiology).
- Emergency Department and Infusion Services (e.g., Oncology).
- Observation and Procedure Room (e.g., Endoscopies, Cardiac Cath).
- Outpatient Services, particularly Operating Room procedures.
Strong computer skills, including Microsoft Office and Google Suite.
High typing speed with accuracy.
Excellent written and verbal communication skills.

Licenses and Certifications:

Certification through at least one of the following organizations:
- American Health Information Management Association (AHIMA)
- American Academy of Professional Coders (AAPC)

About the Role

This is a remote position offering the opportunity to apply advanced coding skills in a flexible work environment. If you excel in medical coding, have strong attention to detail, and thrive in a fast-paced healthcare setting, this role is for you!

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