Outpatient Acute Care Coder

Quorum Health Corporate•Brentwood, TN

1d•Remote

About The Position

This position is responsible for assigning appropriate diagnostic and procedural codes to patient charts of moderate to high complexity. The coder will utilize ICD-10-CM, ICD-10-PCS, CPT, HCPCS, or any other designated coding classification system, adhering to coding rules and regulations and the Standards of Ethical Coding set forth by AHIMA. The role involves reviewing 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 for outpatient encounters, ensuring proper coding, billing, and compliance. The position will match the outpatient coding area to the individual's experience, covering areas such as Same Day Surgery, Routine Outpatient, Physician, Recurring, or Observation.

Requirements

One to three years’ experience performing medical record coding in acute care setting.
High school diploma or equivalent.
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.
1 year of Acute/Physician Coding Experience.
AHIMA or AAPC Certification required such as RHIA, RHIT, CCS, CPC, CIRCC, COC.
3M360 experienced.

Nice To Haves

Associate of bachelor’s degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed.

Responsibilities

Assign 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.
Abide by the Standards of Ethical Coding as set forth by AHIMA.
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.
Match outpatient coding area to experience (i.e. Same Day Surgery, Routine Outpatient, Physician, Recurring, Observation, etc.).
Review 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, review Ambulatory Payment Classifications (APC) and coding edits.
Review 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.
Assign Physician E/M levels and charges for all relevant procedures performed in various settings, if applicable.
Assign injections and infusions, if applicable.