Outpatient Coder (Remote)

University Medical Center of Southern Nevada•Las Vegas, NV

6d•Remote

About The Position

Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services for UMC. Identifies and reports coding opportunities and recommendation for improvement. Monitors and reports trend and escalates discrepancies to management.

Requirements

Graduation from high school and two (2) years of outpatient coding experience (physician's office, ambulatory surgery centers, emergency department, or multidisciplinary medical practice/group coding experience).
Formal education in a related field may be substituted for experience on a year to year basis.
One or a combination of the following certifications: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist Physician based (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT).
Knowledge of outpatient code sets including CPT, HCPCS, ICD10-CM/PCS, and Medicare hospital and physician outpatient coding and reimbursement regulations.
Knowledge of current healthcare based technology and Electronic Health Record (EHR) practices.
Knowledge of coding guidelines.
Knowledge of departmental policies and procedures.
Knowledge of medical terminology, anatomy and physiology, disease process and minor surgical procedures.
Knowledge of laws, codes, rules and regulations governing area of assignment.
Knowledge of revenue cycle workflows (charges/charge master, code edits, auditing, denials management, and document improvement).
Knowledge of department and hospital safety practice and procedures.
Knowledge of patient rights.
Knowledge of age-specific patient care practices.
Knowledge of infection control policies and practices.
Knowledge of handling, storage, use and disposal of hazardous materials.
Knowledge of department and hospital emergency response policies and procedures.
Skill in coding and maintaining department-specific quality standards and meeting productivity standards.
Skill in reviewing and abstracting information.
Skill in data collection, manipulation, and retrieval.
Skill in reviewing and checking documents for completeness and accuracy.
Skill in meeting strict productivity standards.
Skill in concentrating for long periods of time while dealing with distractions.
Skill in reporting inconsistencies and discrepancies with established standards and guidelines.
Skill in using 3M 360 or similar integrated encoder computer assisted coding systems.
Skill in using Webex.
Skill in running queries.
Skill in reviewing denials.
Skill in preparing technical reports.
Skill in paying attention to detail and accuracy.
Skill in handling patient and organizational information confidentially.
Skill in using computers and related software applications.
Skill in communicating with a wide variety of people.
Skill in establishing and maintaining effective working relationships.
Skill in efficient, effective, and safe use of equipment.
Mobility to work in a typical office setting and use standard equipment.
Ability to sit and retain concentration for extended periods of time.
Vision to read printed materials and VDT screens.
Hearing and speech to communicate effectively in-person and over the telephone.
Strength and agility to exert up to 20 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

Responsibilities

Researching codes and abstracting medical information to determine accurate, complete, and billable codes for Outpatient/Physician Clinical services.
Identifying and reporting coding opportunities and recommendations for improvement.
Monitoring and reporting trends.
Escalating discrepancies to management.