Hospital Outpatient Coder

Ovation Healthcare

2d•Remote

About The Position

ruralMED Management Resources, an Ovation Healthcare partner, seeks a Hospital Outpatient Specialty Coder. This role, under general direction, is responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. They will ensure the timely and accurate coding of medical claims while maximizing reimbursement for services. Specific job duties will vary based upon client assignment. Employee will also abide by ruralMED’s policies as a condition of employment.

Requirements

High School Diploma or GED - required
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) - required
Knowledge of medical terminology - required
Proficient with Microsoft Office
Demonstrated strong verbal and written communication skills
Ability to use multiple client systems and manage competing priorities
Enthusiasm for a remote teamwork environment

Nice To Haves

Associate Degree - preferred
Three to five years in emergency room coding, infusion coding, specialty clinic procedure coding - preferred
Two years’ experience with formal coding training - considered
Critical Access Hospital and/or Rural Health Clinic coding is a plus

Responsibilities

Receive and review charge entry data from practice sites
Identify and investigate incomplete or missing charges
Abstract clinical information; translates medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems
Sequence codes according to established guidelines
Thorough analysis and interpretation of medical information, medical diagnoses, coding/classification systems, to ensure accuracy for prospective payment system reimbursement
Maintain current knowledge of coding rules and regulations as designated by the AMA, Centers of Medicare and Medicaid Services (CMS) and other payers
Maintain proficient knowledge of EHR, as well as any other systems to perform job duties
Communicate issues to management, including payer, system, or escalated account issues
Identify medical necessity denial trends and provide suggestions for resolution
May perform other billing functions including claim submission, unpaid claims follow-up, denial resolution
Participation in department meetings, in-service programs, and continuing education programs
Convey professional attitude with patients, visitors, physicians, office staff and hospital personnel
Assure confidentiality of patient information, maintaining compliance with policies and procedures
Perform other duties as assigned