Outpatient Coder 3 - Remote

Yale-New Haven Health • New Haven, CT

72d • Remote

About The Position

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 3 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in three (3) complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks, resolving claim edits, handling individual coding workload, working stop bills/DNBs, conducting QA reviews and sending queries, as needed, to clinical staff. Mentors Coder 1 and Coder 2 coders, and participates in cross-training initiatives such as the coder buddy program and learning circle initiatives. Acts as an expert coding resource to other coders and other hospital departments when coding questions /issues arise.

Requirements

• Bachelors degree preferred in a health related field.
• Requires course work, preferably college level, in anatomy and physiology, medical terminology, pathophysiology, and disease process.
• Requires a minimum of four (4) years - 6 years of outpatient coding experience in multiple complex coding specialties to be considered.
• Prior experience in Epic and 3M encoder preferred.
• CCS, CCS-P, or RHIT credential preferred.
• Must also possess a valid coding credential through AAPC and /or AHIMA.
• Coding credentials specific to areas of expertise preferred.

Nice To Haves

• Comprehensive knowledge of anatomy/physiology, medical terminology, ICD-10-CM/PCS, and CPT coding.
• Knowledge of professional E/M leveling required.
• Excellent communications skills orally and in writing.
• Strong critical thinking and reasoning skills.
• Time management skills.
• Ability to perform functions independently and under limited supervision.
• Ability to prioritize individual workload.
• Ability to build effective peer-to-peer working relationships and mentor other coders in coding, workflows, etc.

Responsibilities

• Reviews medical record documentation and accurately selects the appropriate ICD-10-CM, CPT, modifiers, and ICD-10-PCS codes, when applicable, in accordance with official coding guidelines.
• Capable of coding a minimum of three (3) complex OP service lines, which would include: Cardiology, Interventional Radiology, Observation, Oncology, or Same Day Surgery at proficiency.
• Maintains the productivity expectations as defined by the department for the OP coding service lines.
• Maintains a minimum of 95% overall coding quality score in diagnostic, procedural, and modifier code selection in a minimum of three (3) complex OP coding service lines.
• Participates and seeks out career development activities by reading journals, coding articles, researching procedures and/or disease processes to ensure appropriate code selection.
• Regularly attends coding education sessions, and shares information.
• Actively participates, and/or leads learning circles or other educational initiatives.
• Uses department resources regularly and follows workflows, with minimal assistance or intervention, to perform daily work to meet CFB (candidate for billing) goals.
• Prioritizes coding workload appropriately by focusing efforts on cases and service lines with the potential to impact department goals with minimal supervision.
• Provides guidance to other coders, as appropriate.
• Resolves cases returned coder for education and/or errors, and uses feedback to improve ongoing performance.
• Helps other coders, as directed, with resolving their errors.
• Handles coding DNBs and stop bills, QA reviews, or other projects and/or coding initiatives as assigned.
• Must know the nuances of all the coding workflows.
• Works with peers and/or leadership to create and maintain accurate up-to-date policies and procedures.
• May be the point person for peer-led documentation task forces and/or initiatives.
• Mentors and provides coding support to peers and to new team members as part of the OP coder buddy program.
• Helps new team members acclimate into the coding environment.
• Serves as a coding subject matter expert, and provides support to peers and to OP Coding leadership.
• Exhibits enthusiasm for the profession, embraces educational opportunities and department support offered and remains engaged in the goals and vision of the department.

What This Job Offers

• Career Level: Mid Level
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees