Outpatient Coding Specialist, Remote

CGH Medical Center

1d•$18 - $27•Remote

About The Position

The Outpatient Coding Specialist reviews moderate- to minimally complex medical records, assigns appropriate ICD-10-CM diagnosis codes, and abstracts pertinent data for claims processing, data retrieval, and analysis. The specialist follows the American Health Information Association’s Standards of Ethical Coding, official coding and reporting guidelines, and hospital-specific guidelines, while maintaining knowledge of federal regulations related to ancillary coding and reimbursement. This is a remote position scheduled Monday through Friday on day shifts, for 40 hours per week. The stated compensation range is $17.95–$26.93. Benefits listed are for benefit-eligible positions.

Requirements

A CPC, CPC-A, CCS, CCS-P, or CCA credential is required.
Candidates with CPC or CPC-A certification must obtain an AHIMA CCA credential within two years of hire.
Basic PC and PC maintenance skills are required.
Follow applicable ethical coding standards, official coding and reporting guidelines, and hospital-specific guidelines.

Nice To Haves

Coding experience in a medical center is preferred.
Working knowledge of regulatory requirements, APCs, modifiers, and accounts receivable is preferred.
For advancement to Inpatient Coding Specialist or Outpatient Coding II Specialist positions, a CCS or CCS-P must be obtained within two years of hire.

Responsibilities

Review ancillary medical records to identify diagnoses for coding, confirm that conditions are properly documented and ordered by the provider, and sequence them appropriately.
Use the encoder to assign ICD-10-CM codes in accordance with Uniform Hospital Discharge Data Set Guidelines, official coding and reporting guidelines, and Coding Clinic guidelines.
Verify medical necessity criteria by reviewing encoder edits and CMS policies; address potential medical necessity denials by reviewing physician documentation and orders in the electronic record.
Verify specific charges in the Cerner billing system for timeliness and accuracy, and communicate charge problems to the appropriate department manager or designee.
Monitor the Prebill report and complete coding in a timely manner as part of the Revenue Cycle.
Participate in education and training as directed by the Coding Manager.
Maintain coding credentials through continuing education provided by CGHMC.