Physician Coder Specialist - GI - Remote Permanent Opportunity

Ochsner Health•New Orleans, LA

13d•Remote

About The Position

This remote, permanent role is responsible for reviewing and accurately coding professional services, including evaluation and management and procedures, or hospital outpatient surgeries and procedures and observation patients. The specialist follows applicable Medicare, Medicaid, and third-party payer guidelines to support accurate reimbursement. The role assigns ICD-10, CPT, and/or HCPCS codes within established coding guidelines, validates that medical documentation supports assigned codes, and researches patient accounts to address questions or errors. The specialist may communicate with providers to clarify documentation, collaborate with team members and other departments on monthly goals, and verify discharge disposition when appropriate. The position also requires compliance with applicable laws, regulations, accreditation standards, and the employer’s compliance and privacy policies.

Requirements

High school diploma or equivalent.
At least 1 year of coding experience.
Computer skills and dexterity for data entry and retrieval of patient information.
Effective verbal and written communication skills, including the ability to present information clearly and professionally to people at varying levels.
Proficiency with Windows-style applications, software packages specific to the role, and keyboard use.
Knowledge of ICD-9-CM, ICD-10, CPT, HCPCS, and coding principles.
Strong decision-making, problem-solving, analytical, and quality-management skills.

Nice To Haves

Completion of an accredited AHIMA or AAPC coding program with certification.
A recognized certification from AHIMA or AAPC.

Responsibilities

Assign ICD-10, CPT, and/or HCPCS codes in accordance with established coding guidelines, rules, and regulations.
Code professional surgical services, including reviewing CPT procedure codes, and/or hospital outpatient and observation services, including diagnosis and CPT procedure coding.
Review medical documentation and validate that it sufficiently supports the assigned codes and the integrity of coded patient records.
Research patient accounts to respond to questions and address errors.
Meet established department productivity and accuracy standards.
Communicate with providers to clarify information or request additional documentation as needed.
Collaborate with team members and other departments to meet monthly departmental goals, which may include DNFB, Pre-AR, denials, and claim edits.
Verify correct discharge disposition when appropriate based on medical documentation.
Remain knowledgeable about and comply with applicable laws, regulations, accreditation standards, and regulatory agency requirements.
Follow the employer’s Compliance & Privacy Program and Standards of Conduct, including promptly reporting suspected unethical conduct and safety, privacy, or other compliance concerns.
Perform other related duties as required.