Outpatient Facility Coding Specialist - ED, Surgery, OBS

CorroHealth•TX-Remote, TX

3d•Remote

About The Position

The Outpatient Facility Coding Specialist provides CPT, HCPCS, and ICD-10-CM coding for outpatient facility services across emergency department, surgery, observation, and other specialties. The position may support one or more clients or facilities and is expected to work independently from home. Coding duties include calculating facility E/M levels using a company-provided algorithm, identifying critical-care cases based on patient acuity, and coding observation cases and emergency-department surgical procedures when appropriate to capture additional revenue. The specialist applies diagnosis and procedure codes accurately and to the highest available level of specificity, interprets coding guidelines, and recognizes how documentation affects code assignment and reimbursement. The role requires maintaining established productivity, accuracy, and quality standards; communicating professionally with clients; complying with ethical, privacy, security, and company policies; and participating in company training. The specialist may assist leadership with reports and may have the opportunity to begin auditing.

Requirements

Current coding certification through AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
At least 2 years of experience.
Advanced working knowledge and experience with systems such as EMR and billing systems.
Proficiency in Microsoft Excel and Outlook, including basic spreadsheet editing, formulas, and pivot tables; email management; and scheduling and attending meetings.
Current coding materials, including CPT and ICD-10-CM coding references.
Ability to maintain ongoing productivity and an accuracy rate of 95% or higher.
Ability to maintain an ongoing quality score of 95% or higher.
Effective and professional verbal and written communication skills.
Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
Ability to work from home and perform coding independently.

Responsibilities

Provide coding services for outpatient facility services and multiple specialties, clients, or facilities as assigned.
Calculate facility E/M levels using the company-created algorithm; training is provided.
Recognize critical-care cases based on patient acuity.
Code observation cases and surgical procedures typical of an emergency-department setting when appropriate to capture additional revenue.
Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
Accurately assign diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
Interpret coding guidelines and assess the impact of documentation on code assignment and reimbursement.
Maintain required productivity, accuracy, and quality standards.
Communicate professionally with clients to foster effective working relationships and support company business interests.
Assist leadership or a Lead Coding Specialist with reports as needed.
Potentially assist with auditing.
Follow AHIMA’s Standards of Ethical Coding, the company’s Code of Ethics and Business Conduct, the Ethics and Compliance Program, and internal policies and procedures.
Maintain at least one AAPC- or AHIMA-issued coding credential.
Participate in company-provided training and education.
Protect confidential company information and comply with privacy and security rules and regulations, including those concerning Personal Health Information.
Maintain regular, predictable, and punctual attendance.
Perform other duties as assigned by leadership.