Medical Coding Specialist - Outpatient (full-time)
想要从心中提供非凡的医疗保健团队的一部分吗？你属于这里.100%远程位置，可在现场工作。威斯康星州或伊利诺伊州居住需要 POSITION SPECIFICS 标题：医学编码专家 外诊患者 FTE: 1.0 （40小时每周）日程：星期一至周五，5 (5) 8 小时间时间 6点到 5点假期轮流：无周末轮流：没有电话要求：无位置总结审查临床和医院外诊服务的医生报告和文件以应用诊断和程序代码给个人的病人健康信息进行索赔处理，数据检索和分析。这一职位主要集中在紧急部门和急诊护理编码，但也将协助其他领域。POSITION TECHNICAL RESPONSIBILITY · 通过国际疾病分类 (ICD) 和当前程序术语 (CPT) 的编码协议分配 ambulatory 外科医生服务的代码，用于设施和专业服务。包括紧急室和急救提供商的专业代码输入。· 对患者信息，保险信息，适当诊断和程序代码的电子医疗记录进行审计，以确保支付和退款的准确文件。· 审查和解决国家正确编码倡议 (NCCI) 和外科医生代码编辑器 (OCE) 的编辑。· 与临床部门主任和医疗费用支付人员沟通，以澄清编码指南并解决索赔编辑。• 识别和向外科医院部门传达错过的收入机会。与商业分析师合作创建新的收费代码，如有需要。· 正如分配，调查被拒绝的保险公司的索赔和及时上诉以确保准确退款。· 使用医院信息系统从患者记录中抽取相关信息。· 根据必要情况询问医生提供文件或代码分配的澄清。· 确定编码问题或趋势。如有需要，涉及收入周期领导力来协助解决问题。·提供对编码变化的教育。·参加继续教育计划并审查其他教育资源以保持与该职位有关的任何变化和编码重新认证的最新情况。·帮助制定与编码相关政策和程序。·协助培训新员工和工作幕。·执行。
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Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here.
100% Remote position with option to work onsite. Wisconsin or Illinois residency required
POSITION SPECIFICS
Title: Medical Coding Specialist – Outpatient
FTE: 1.0 (40 hours per week)
Schedule: Monday to Friday, five (5) 8-hour shifts between hours of 6am and 5pm
Holiday Rotation: None
Weekend Rotation: None
On Call Requirements: None
POSITION SUMMARY
Reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis.
This role will primarily focus on Emergency Department and Urgent Care coding but will also assist in other areas.
POSITION TECHNICAL RESPONSIBILITIES
- Assigns codes for ambulatory outpatient services using International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding protocols, for facility and professional services. Includes professional code entry for Emergency Room and Urgent Care providers.
- Audits the electronic medical record for accuracy of patient information, insurance information, appropriate diagnosis, and procedure codes to ensure accurate documentation for billing and reimbursement.,
- Reviews and resolves National Correct Coding Initiatives (NCCI) and Outpatient Code Editor (OCE) edits.
- Communicates with clinical department directors and medical billing staff to clarify coding guidelines and resolve claim edits.
- Identifies and communicates missed revenue opportunities to ambulatory departments. Works with business analyst to create new charge codes, as needed.
- As assigned, investigates denied claims from insurance carriers and appeals timely to ensure accurate reimbursement.
- Abstracts pertinent information from patient records using hospital information system.
- Queries physicians as needed to provide clarification on documentation or code assignment.
- Identifies coding concerns or trends. As needed, involves Revenue Cycle leadership to assist with resolution.
- Provides education on coding changes.
- Attends continuing education programs and reviews other educational resources to keep current on any changes pertaining to this position and for coding re-certification.
- Assists with developing policies and procedures related to coding.
- Assists in training new employees and job shadowing.
- Performs other related work assignments as required.
POSITION REQUIREMENTS
Education:
- Required: Successful completion of a professional American Health Information Management (AHIMA) or American Academy of Professional Coders (AAPC) recognized coding course and/or an Associate degree in a healthcare related program.
- Preferred: Associates degree in a healthcare related program
Experience:
- Required: None
- Preferred: Prior Ambulatory Coding experience preferred.
Licenses and Registrations:
- Required: None
- Preferred: None
Certification(s):
·
Required: Must obtain credentials through the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) in any of the following certifications within six months of date of hire and maintain such credential thereafter:
- Registered Health Information Technician (RHIT) or Administrator (RHIA)
- Certified Coding Associate (CCA)
- Certified Coding Specialist (CCS)
- Certified Professional Coder – Hospital (CPC-H)
- Certified Professional Coder (CPC)
- Certified Inpatient Coder (CIC)
- Certified Outpatient Coder (COC)
BENEFIT SUMMARY
- Competitive health and dental insurance options
- Flexible paid time off to balance work and life
- Retirement plan with immediate vesting and employer match
- Discounted membership to our state-of-the-art fitness facility
- Generous tuition reimbursement
- Employer provided life and disability insurance
- Free parking at facility
#IND100
Originally posted on Himalayas