Senior Outpatient Coder

Essentia Health•Fargo, ND

20h•Remote

About The Position

This position is responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, CPT/HCPCS procedure codes, and modifiers to ensure proper reimbursement for complex outpatient accounts. Requires extensive knowledge and understanding of ICD-10-CM and CPT/HCPCS coding guidelines, medical terminology, and disease processes. Works closely with clinicians and operations to ensure complete and accurate documentation, coding, and charges for the services provided. Adheres to the quality and productivity standards set by the department.

Requirements

Two (2) years of hospital outpatient coding experience
Passing score on the Essentia Health senior outpatient coding skills assessment
Current certification with American Health Information Management Association (AHIMA) or AAPC and credentialed as Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and/or Certified Coding Specialist-Physician-Based (CCS-P)

Nice To Haves

Epic experience
3M Encoder experience
Computer Assisted Coding experience

Responsibilities

Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and CPT/HCPCS procedural codes, and modifiers accurately reflect and support the hospital-based outpatient encounter
Identifies documentation clarification opportunities to ensure that documentation supports the coding and charges for the services provided. Initiates coding queries and provides feedback to clinicians
Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided
Works with the coding denials team for education and assists with denial prevention solutions
Ensures outpatient accounts are coded accurately and in a timely manner
Consistently maintains coding quality (95% accuracy) and productivity expectations
Assists with the training of outpatient coders
Performs related duties as required