Ambulatory Professional Coder

University Medical Center of Southern Nevada•Las Vegas, NV

1d•Onsite

About The Position

Responsible for reviewing and coding medical records and documentation for ambulatory professional healthcare services. Ensures diagnoses, procedures, and services are accurately coded for physician and professional-services fee reimbursement, including evaluation and management (E/M) coding and global surgical packages provided by individual clinicians. The position is based in Las Vegas, Nevada. The selected candidate must live in Clark County, Nevada, or be willing to relocate before hire.

Requirements

Equivalent to graduation from high school.
Two years of physicians’ office or multidisciplinary medical practice/group coding experience.
One of the following AHIMA or AAPC certifications: Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Coding Specialist—Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder—Apprentice (CPC-A), Certified Coding Associate (CCA), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).
Knowledge of outpatient code sets, including CPT, HCPCS, and ICD-10-CM/PCS; E/M guidelines; global surgery packages; provider specialties; and Medicare professional-fee-for-service coding and reimbursement regulations.
Knowledge of healthcare technology and electronic health record practices, coding guidelines, medical terminology, anatomy and physiology, disease processes, minor surgical procedures, revenue-cycle workflows, and applicable laws, rules, and regulations.
Skill in modifier application, coding, information abstraction, data collection and retrieval, document review, use of computer-assisted coding systems, query and denial review, report preparation, and accurate, confidential handling of information.
Ability to concentrate for extended periods, meet strict productivity standards, communicate effectively with diverse people, and maintain effective working relationships.
Ability to work in a typical office setting, sit and concentrate for extended periods, and use standard equipment. Vision, hearing, and speech sufficient to communicate and review printed and computer-screen materials.
Ability to exert up to 20 pounds of force occasionally and negligible force frequently or constantly to move objects.

Responsibilities

Review and code medical records and documentation for ambulatory professional healthcare services.
Ensure diagnoses, procedures, and services are accurately coded for physician and professional-services fee reimbursement.
Code evaluation and management (E/M) services and global surgical packages provided by individual clinicians.
Review and abstract information and check documents for completeness and accuracy.
Apply modifiers, including RT/LT and anatomical modifiers.
Meet department and organization quality and productivity standards.
Report inconsistencies and discrepancies with established standards and guidelines.
Run queries, review denials, and prepare technical reports.
Handle patient and organizational information confidentially.