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Outpatient Surgical and Observation Coder
Center for Health Care StrategiesJoin Nemours Children's Health as an Outpatient Surgical and Observation Coder. Focus on accurate medical coding using ICD 10 CM and CPT guidelines while ensuring quality billing procedures.
About the role
Key responsibilities & impact- Ability to comprehend medical record documentation to accurately assign codes for both concurrent and discharged accounts across multiple specialties.
- Meets minimum requirements for production and quality monthly.
- Requires a working knowledge of code sequencing for grouper-related payers with attention to detail to avoid rework and waste with charge capture assessment component.
- Requires understanding and application of M.E.A.T. criteria (i.e., monitoring, evaluation, assessment, treatment) using ICD 10 CM transaction data set to capture diagnoses.
- Analyzes high-risk encounters for accurate and/or missing charges gaps prior to encounter completion (i.e., missing charges from anesthesia, surgery) when manual charge capture occurs.
- Understand complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce 'take backs' associated with un-clear, or un-substantiated care rendered. (i.e., varying modifier assignment for EAPG vs. Non-EAPG payer specificity)
- Requires excellent coding knowledge of ICD 10 CM, CPT 4, and modifier application, with expectations to maintain certification (i.e., CCS, CPC, RHIT, or RHIA) and apply ICD 10 CM Coding Guidelines specific to both inpatient and outpatient encounters.
- Facilitate modifications to clinical documentation through query interaction to ensure that the information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC), and risk adjustment factors (RAF).
- Demonstrates an excellent working knowledge of hospital information systems to retrieve data specific information (i.e., order diagnosis, patient type) within a complicated filing schema including non-hospital data (i.e., Media Tab, Office Visits etc)
Requirements
What you’ll need- Minimum education of an Associate's degree required
- Medical Terminology, Anatomy and Physiology required
- One of the following certifications required: CPC, CCS, RHIT, RHIA, COC (**please include on resume)**
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Center for Health Care Strategies Website LinkedIn All Job Openings 51 - 200 employees Founded 1998 ⚕️ Healthcare Insurance 🤝 Non-profit 🌍 Social Impact Healthcare Insurance
- Non-profit
- Social Impact Center for Health Care Strategies is a U. S. -based organization dedicated to improving the healthcare system to achieve better and more equitable outcomes, particularly for those served by Medicaid. The center focuses on issues like complex health and social needs, mental health, substance use, and aging and disability. It emphasizes cross-sector partnerships, community engagement, and health equity to transform the delivery system and promote value-based payments. The organization also supports leadership and capacity building efforts to drive system reform, including integrating Medicare and Medicaid services and advocating for trauma-informed care and primary care innovation. Outpatient Surgical and Observation Coder Job not on LinkedIn 🔥 7 minutes ago 🐊 Florida – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding Apply Now Find Hiring Managers Customize resume for this job Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Ability to comprehend medical record documentation to accurately assign codes for both concurrent and discharged accounts across multiple specialties.
- Meets minimum requirements for production and quality monthly.
- Requires a working knowledge of code sequencing for grouper-related payers with attention to detail to avoid rework and waste with charge capture assessment component.
- Requires understanding and application of M.E.A.T. criteria (i.e., monitoring, evaluation, assessment, treatment) using ICD 10 CM transaction data set to capture diagnoses.
- Analyzes high-risk encounters for accurate and/or missing charges gaps prior to encounter completion (i.e., missing charges from anesthesia, surgery) when manual charge capture occurs.
- Understand complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce 'take backs' associated with un-clear, or un-substantiated care rendered. (i.e., varying modifier assignment for EAPG vs. Non-EAPG payer specificity)
- Requires excellent coding knowledge of ICD 10 CM, CPT 4, and modifier application, with expectations to maintain certification (i.e., CCS, CPC, RHIT, or RHIA) and apply ICD 10 CM Coding Guidelines specific to both inpatient and outpatient encounters.
- Facilitate modifications to clinical documentation through query interaction to ensure that the information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC), and risk adjustment factors (RAF).
- Demonstrates an excellent working knowledge of hospital information systems to retrieve data specific information (i.e., order diagnosis, patient type) within a complicated filing schema including non-hospital data (i.e., Media Tab, Office Visits etc) 🎯 Requirements
- Minimum education of an Associate's degree required
- Medical Terminology, Anatomy and Physiology required
- One of the following certifications required: CPC, CCS, RHIT, RHIA, COC (**please include on resume)** Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Coder 3 – Hospital 🔥 27 minutes ago Franciscan Missionaries of Our Lady Health System 10,000+ employees 🤝 Non-profit 🌍 Social Impact Website LinkedIn All Job Openings Medical Coder handling inpatient and ambulatory surgery coding responsibilities in healthcare. Abstracting clinical information and assigning appropriate codes according to established procedures. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🔴 Lead 🏥 Medical Billing and Coding 🦅 H1B Visa Sponsor Certified Coding Specialist Sr – Surgical Coding 🔥 31 minutes ago INTEGRIS Health 10,000+ employees Website LinkedIn All Job Openings Certified Coding Specialist Sr analyzing surgical codes for INTEGRIS Health in Oklahoma City, OK. Providing expertise in coding accuracy and compliance with health regulations. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🏥 Medical Billing and Coding 🦅 H1B Visa Sponsor Revenue Cycle Consultant, Medical Coding 🔥 4 hours ago Yukon-Kuskokwim Health Corporation 1001 - 5000 🤝 Non-profit Website LinkedIn All Job Openings Medical Coding Consultant with expertise in Cerner/Oracle Revenue Cycle and medical coding functionality. Supporting a large organization in the configuration of Electronic Health Record systems. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding Multi-Specialty Professional Coder 🔥 13 hours ago AAPC 51 - 200 ⚕️ Healthcare Insurance 📚 Education 📋 Compliance Website LinkedIn All Job Openings Join AAPC as a professional medical coder, coding for physician practices with extensive specialty knowledge. Remote position requiring 5+ years of experience and relevant certifications. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding Outpatient Facility Coder 🔥 21 hours ago Affordable Housing Trust for Columbus and Franklin County 1 - 10 🤝 Non-profit 🏠 Real Estate 🌍 Social Impact Website LinkedIn All Job Openings Medical Coding Specialist at UASI with 5+ years of outpatient coding experience. Focused on accurate code assignments for outpatient, same day surgery, and observation records in a remote setting. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding View More Medical Billing and Coding Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs
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Hard Skills & Tools
ICD 10 CMCPT 4modifier applicationcode sequencingcharge capture assessmentM.E.A.T. criteriaanalyzing high-risk encountersbilling requirementsclinical documentation modificationhospital information systems
Soft Skills
attention to detailcommunicationanalytical skillsproblem-solving
Certifications
CPCCCSRHITRHIACOC