Outpatient Medical Coder

TEKsystems•Linn Township, IA

3d•$25 - $27•Remote

About The Position

Will be a 6-9 month set contract need to support automation within the business office. Contract needs may extend longer. 100% remote role; prefer candidates that sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest. Hospital HB coding for Ambulatory surgery in all services areas (ortho, pain, wound, neuro, cardiac, etc.) is required for role. Must have hospital coding experience in surgery and wound service areas. The Outpatient Medical Coding role reviews inpatient and outpatient medical records for documentation, abstracting and analyzing. Assign all codes to the highest level of specificity following the current guidelines for ICD-10-CM, CPT, and HCPCS. Understand and properly apply modifiers, CCI edits, medical policy rules (e.g., LCD/NCD), etc., in compliance with payor regulations. This role will be using Epic and a stand alone encoder.

Requirements

Hospital HB coding for Ambulatory surgery in all services areas (ortho, pain, wound, neuro, cardiac, etc.) is required for role.
Must have hospital coding experience in surgery and wound service areas.

Responsibilities

Assigns procedural codes according to coding conventions defined by the American Medical Association’s CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable.
Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting.
Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations.
Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality.
Collaborate with Clinical Auditors to identify opportunities for improvement and provide guidance/counsel to providers.
Monitor environmental conditions in order to secure protected health information.
Maintain departmental and organizational awareness by attending meetings as required, reading emails and regularly checking information on the organization’s intranet site.
Maintain regular and consistent attendance at work.
Maintain compliance with Personnel policies and procedures.
Balance team and individual responsibilities; be open and objective to other’s views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests.
Perform other duties as requested to facilitate the smooth and effective operations of the organization.
Consistently research and resolve coding related denials per payer regulations.
Charge entry of CPT and ICD-9/ICD-10 codes.
Ability to code complex procedural coding cases.
Maintain productivity standards and maintain quality scores at or above 95%.
Collection and/or analysis of coding-related data for training purposes or presentation as needed.
Behave in a manner consistent with all Compliance and HIPAA policies and procedures.
Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.