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Outpatient Coder-Remote
Community Health Systems
Remote, USA
Full-time
Entry · 1+ years experience
Remote
Discovered 1 weeks ago
ICD-10-CMCPTHCPCSElectronic Health Record (EHR)3MMeditech
Free
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ICD-10-CMCPTHCPCS
Key Skills for This Role
ICD-10-CMCPTHCPCSElectronic Health Record (EHR)3MMeditech
Full Job Posting
- Reviews and assigns appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient records, ensuring compliance with coding and billing regulations.
- Codes a variety of outpatient encounters, including observation stays, outpatient surgeries, interventional radiology, cardiac catheterization, emergency department visits, wound care, and ancillary services.
- Applies correct coding guidelines and payer-specific policies, ensuring adherence to LCD/NCD (Local Coverage Determination/National Coverage Determination) requirements.
- Resolves coding edits and denials, identifying and correcting discrepancies while maintaining compliance with corporate and regulatory standards.
- Maintains coding productivity and accuracy standards, achieving a 95% coding accuracy rate and meeting corporate benchmarks.
- Consults with the Manager or other subject matter experts to resolve complex coding issues and discrepancies.
- Collaborates with Clinical Documentation Integrity (CDI) specialists and billing teams, ensuring complete and accurate coding and documentation.
- Ensures adherence to HIPAA privacy and security standards, maintaining confidentiality of patient records.
- Utilizes hospital coding software and related tools to ensure accuracy and compliance with corporate policies.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
- H.S. Diploma or GED required
- Associate Degree in Health Information Management, Medical Coding, or a related field preferred or
- One (1) year coding certification in Health Information Management preferred
- 1-3 years of outpatient coding experience in an acute care hospital or healthcare system required
- Experience coding emergency department visits, outpatient procedures, interventional radiology, and/or ambulatory surgery preferred
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding principles and outpatient reimbursement methodologies.
- Understanding of Local Coverage Determination (LCD), National Coverage Determination (NCD), and payer-specific coding guidelines.
- Experience with electronic health record (EHR) systems and coding software (e.g., 3M, Meditech, Epic, Cerner).
- Ability to analyze and resolve coding edits, rejections, and denials efficiently.
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