Outpatient Acute Care Coder
Quorum Health
full-time
Posted on:
Location Type: Remote
Location: Tennessee • United States
Visit company websiteExplore more
Job Level
About the role
- Responsible for assigning appropriate diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, ICD-10-PCS, CPT, HCPCS or any other designated coding classification system in accordance with coding rules and regulations.
- Abides by the Standards of Ethical Coding as set forth by AHIMA.
- The Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance.
- Will match outpatient coding area to experience (i.e. Same Day Surgery, Routine Outpatient, Physician, Recurring, Observation, etc.).
- Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
- Using 3M encoder, reviews Ambulatory Payment Classifications (APC) and coding edits.
- Reviews Local/National Coverage Determination (LCD/NCD) edits and guidance for codes meeting medical necessity.
- Research electronic medical record for any additional diagnoses documented to meet medical necessity.
- Ability to assign Physician E/M levels and charges for all relevant procedures performed in various settings, if applicable.
- Ability to assign injections and infusions, if applicable.
Requirements
- One to three years’ experience performing medical record coding in acute care setting required.
- High school diploma or equivalent is required.
- Associate of bachelor’s degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed preferred.
- Years of coding experience will be considered in lieu of educational requirements.
- Functional Knowledge of EMR (Electronic Medical Record), Encoder and CDI Tools and other Support Software.
- Comprehensive understanding of UHDDS guidelines, CCI Edits, Coding Clinic, etc.
- Microsoft Office (Word, One Note, Excel, Outlook, PowerPoint) proficient.
- Excellent verbal and written communication skills.
- Ability to meet assigned deadlines.
Benefits
- Competitive salary and benefits package.
- Opportunities for professional development and advancement.
- Supportive work environment with a collaborative team.
- Comprehensive healthcare coverage.
- Retirement savings plan.
- Paid time off and flexible scheduling options.
- Student loan repayment program.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CMICD-10-PCSCPTHCPCSdiagnostic codingprocedural codingAmbulatory Payment ClassificationsE/M codinginjections codinginfusions coding
Soft Skills
communication skillsdeadline managementattention to detailethical codinganalytical skillsproblem-solving skills