Outpatient Coder – Claim Edits and Denials

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • Review medical records and assign accurate codes for diagnoses and procedures.
  • Assign and sequence codes accurately based on medical record documentation.
  • Assign the appropriate discharge disposition.
  • Abstract and enter the coded data for hospital statistical and reporting requirements.
  • Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution.
  • Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards.
  • Be responsible for tracking continuing education credits to maintain professional credentials.
  • Attend Datavant Health sponsored education meetings/in-services.
  • Demonstrate initiative and judgment in the performance of job responsibilities.
  • Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues.
  • Function in a professional, efficient, and positive manner.
  • Adhere to the American Health Information Management Association’s code of ethics.
  • Be customer-service focused and exhibit professionalism, flexibility, dependability, and a desire to learn.
  • Handle a high complexity of work function and decision-making.
  • Possess strong organizational and teamwork skills.
  • Comply with all HIM Division Policies.
    Requirements:
  • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC).
  • 2+ years of coding experience in a hospital and/or coding consulting role.
  • Proficiency with most or all of these coding specialties (Same Day Surgery, Observation, Injections/Infusions)
  • Proficiency with most or all of these coding specialties (Ancillary, Emergency Department, Injections/Infusions, E/M leveling)
  • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills.
  • Experience in computerized encoding and abstracting software.
  • Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually
  • Experience in computerized encoding and abstracting software
    Benefits:
  • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays
  • Benefits for PRN employees: 401k savings plan w/match
  • Free CEUs every year
  • Stipend provided to assist with education and professional dues (AHIMA/AAPC)
  • Equipment: monitor, laptop, mouse, headset, and keyboard
  • Comprehensive training led by a credentialed professional coding manager
  • Exceptional service-style management and mentorship (we’re in this together!)

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