Coder Outpatient
About The Position
The Outpatient Coder assigns diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS in accordance with CMS hospital billing requirements. The role codes all outpatient chart types, including ambulatory surgery, observation, ancillary, wound care, and emergency department records. The client provides training on each system and site; the listed system is Meditech. The position serves internal coworkers and external customers, clients, and contractors, and involves access to sensitive and confidential information. The coder works independently, including remotely, while supporting department goals, maintaining coding quality and productivity, collaborating with clinical and administrative staff, and complying with applicable coding, billing, privacy, and ethical standards.
Requirements
- Ability to code all outpatient chart types: ambulatory surgery, observation, ancillary, wound care, and emergency department.
- Knowledge of ICD-10-CM, CPT, and HCPCS coding for CMS hospital billing requirements.
- Ability to achieve and maintain 95% accuracy on quality reviews and meet assigned productivity standards.
- Ability to work independently and make decisions effectively while working remotely.
- Ability to maintain confidentiality and follow applicable coding ethics and attendance policies.
Nice To Haves
- A preferred certification: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT).
Responsibilities
- Assign appropriate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS according to CMS hospital billing requirements.
- Meet assigned productivity standards and achieve and maintain 95% accuracy on quality reviews.
- Apply knowledge of APCs, OPPS, NCCI guidelines, Local and National Coverage Decisions, and medical necessity and compliance guidelines.
- Verify, edit, and/or enter charges based on documentation or payer/billing needs, as applicable.
- Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines affecting the coding area.
- Follow coding workflows for each service type, including addressing compliance reviews.
- Submit physician queries when documentation clarification is needed.
- Maintain productive working relationships with physicians, nurses, medical staff, and hospital employees.
- Assist with training and reviewing other coders’ work for accuracy and efficiency, as applicable.
- Recommend improvements to the supervisor and implement and monitor results as appropriate to support department goals.
- Seek advice and guidance when needed to ensure proper understanding.
- Assist others with responsibilities and adjust work schedules to meet department needs.
- Use independent discretion and decision-making while working remotely.
- Attend required educational webinars, conference calls, coding seminars, and formal and informal coding discussions.
- Maintain coding education hours and renew annual coding credentials, as applicable.
- Complete assigned compliance courses within the designated period.
- Follow AHIMA’s Code of Ethics and Standards of Ethical Coding and the LifePoint Attendance Policy.
- Maintain patient and employee privacy and dignity and preserve confidentiality without infractions.
- Perform other related job tasks or responsibilities as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
