Outpatient Senior Coder -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. Reporting to the Supervisor of Outpatient Coding, The OP Senior Coder is a vital multifaceted role within the Outpatient Coding Department. This position provides support to the Outpatient Coding Department as a OP coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The OP Senior Coder is also required to mentor other team members and also prepare them for the role of OP Senior Coder. The OP Senior Coder possesses a strong level of OP clinical coding expertise, and has the ability to handle multiple priorities. This position requires strong ICD-10, CPT and PCS coding skills, in addition to being able to perform QA reviews, educate and mentor team members, and identify, monitor, trend and resolve issues via dashboards to manage the AR.

Requirements

• Bachelor degree preferred in a health related field.
• Five (5) or more years of progressive coding experience in Outpatient Coding.
• Must be fully proficient in all OP service lines, which includes ancillary/radiology, ED/Observation, SDS, Oncology, infusion and injection coding, IR and Cardiology.
• Prior experience in Epic and 3M required.
• Must have working knowledge in resolving coding claim edits, and general understanding of the revenue cycle.
• A coding credential from Ahima or AAPC (COC, CIC, CCS, etc.) or Ahima's RHIA or RHIT is required for this position.

Nice To Haves

• Audit educator and/or coding support experience strongly preferred.
• Additional specialized coding certifications helpful but not required.

Responsibilities

• Manages in collaboration with the OP Coding Leadership team the day-to-day activities related to Outpatient Coding AR to ensure accuracy, completeness, and timeliness of coding completion.
• Serves as a subject matter expert in OP coding and existing workflows to staff and partner departments.
• Responsible to conduct regular QA reviews to identify coding errors and trends, communicate findings, and monitor cases for improvement.
• Capable of coding all OP service lines and maintains a minimum of 95% overall coding quality score in diagnostic, procedural, and modifier code selection.
• Participates and seeks out career development activities by reading journals, coding articles, researching procedures and/or disease processes.
• Prioritizes coding workload appropriately by focusing efforts on cases and service lines with the potential to impact department goals.
• May serve in a lead capacity to provide support to the staff in absence of their supervisor.
• Works closely with the OP Vendor Relations Coordinator and provides coverage support as needed.
• Performs all other duties or special projects requested by manager.
• Exhibits enthusiasm for the profession, embraces educational opportunities and department support offered.

What This Job Offers

• Job Type: Full-time
• 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