PB Coder, Coding Specialist 2
Oregon Health & Science University Foundation
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $32 - $43 per hour
Job Level
JuniorMid-Level
About the role
- Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS).
- Assign correct CPT, ICD-10-CM, and HCPCS codes for facility and/or professional charges, which could include E&M services; diagnostic services; procedural services; facility services; and/or Charge Routers and Charge entry.
- Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU.
- Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
- Coordinate all billing information and ensure that all information is complete and accurate.
- Maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned.
- Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary.
- Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
- Attend coding meetings and seminars and share knowledge with other coders.
- Participate in EC Huddles.
- In collaboration with Enterprise Coding Leadership, develop and disseminate written procedures to facilitate and improve billing and documentation processes.
- In collaboration with Leadership, make recommendations and implement remedial actions for problems.
- Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM, and HCPCS.
Requirements
- High School diploma or GED.
- Minimum two years of hospital or professional services experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding.
- Certification in one of the following Coding certification from AAPC or AHIMA: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
- Active AHIMA membership or Certified Professional Coder (CPC) through the American Academy of Professional Coders; OR equivalent certification.
- Accredited Coding Program required: AAPC Boot Camp, AHIMA Coding Boot Camp.
- Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines.
- Experience using an EMR.
- Some college course work or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
- Knowledge of CPT Outpatient coding guidelines.
- CCI edits and familiarity with medical necessity guidelines.
- Experience using EPIC, 3M encoder.
- Knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates.
- Proficiency with word processing and Excel spreadsheets.
- Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
- Ability to work as a team player.
- Must be able to pass internal coding test.
Benefits
- Healthcare for full-time employees covered 100% and 88% for dependents.
- $50K of term life insurance provided at no cost to the employee.
- Two separate above market pension plans to choose from.
- Vacation - up to 200 hours per year dependent on length of service.
- Sick Leave - up to 96 hours per year.
- 9 paid holidays per year.
- Substantial Tri-Met and C-Tran discounts.
- Employee Assistance Program.
- Childcare service discounts.
- Tuition reimbursement.
- Employee discounts to local and major businesses.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CPT codingICD-10-CM codingHCPCS codingmedical record codingbilling procedurescoding complianceanatomyphysiologymedical terminologyCCI edits
Soft skills
communicationteam playermentoringproblem-solvingorganizational skillsattention to detailcollaborationtrainingsupportleadership
Certifications
Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)Certified Coding Specialist (CCS)Certified Professional Coder (CPC)AAPC Boot CampAHIMA Coding Boot Camp