门诊编码专员 - 外科
Outpatient Coding Specialist - Surgery
门诊编码专员
排班:灵活班次!您向经理提供每周可完成40小时工作的日期和开始/结束时间。欢迎所有美国时区的申请人。
工作地点类型:远程办公
您的经验很重要
在Lifepoint Health,我们致力于赋能和支持多元化、有决心的员工队伍,他们能够推动我们医院和社区的质量、可扩展性和重大影响。作为健康支持中心(HSC)团队的一员,您将支持那些在我们设施中与患者和社区成员互动并提供护理的人,从而积极影响我们让社区更健康的使命®。
您将如何做出贡献
根据编码惯例、指南和医院政策,使用适当的编码分类系统对急诊科、当日手术、门诊诊所、观察、住院产科/新生儿病房、专科诊所等所有医疗事件分配诊断和程序代码,分析有疑问的文档以确保信息的准确性并解决已识别的问题。确保符合官方指南(ICD-10-CM、AHA编码诊所、AMA CPT助理和指南)、AHIMA伦理编码标准以及LifePoint Health支持中心(HSC)的政策和流程。
一位出色的门诊编码专员应具备:
- 根据医疗保险和医疗补助服务中心(CMS)的医院计费要求,利用ICD 10-CM、CPT和HCPCS分配适当的诊断和程序代码。
- 实现并保持质量审查和分配的生产率标准95%的准确率。
- 必须熟悉门诊支付类别(APCs)、门诊前瞻性支付系统(OPPS)、国家正确编码倡议(NCCI)指南、本地和国家覆盖决定,以及其他与计费和编码相关的医疗必要性/合规性指南。
- 可能根据文档或付款人/计费情况进行验证、编辑和/或输入费用。
- 保持对影响编码领域的适用规则、法规、政策、法律和指南的知识。
- 遵循服务类型的编码流程,包括处理合规性审查。
- 在需要文档澄清时提交医生查询。
- 与医生、护士、医疗人员和医院员工建立积极的工作关系,以确保所有与工作相关的就诊都
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Outpatient Coding Specialist
Schedule: Flexible Shifts! You provide your manager with the days and start/end time you are available to complete your 40hrs per week. All United States time zones are welcome.
Job Location Type: Remote
Your experience matters
At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you’ll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier ®.
How you’ll contribute
Assign diagnosis and procedure codes using the appropriate coding classification system on all episodes of care in the emergency department, same-day surgery, outpatient clinic, observation, inpatient OB/newborn hospital, specialty clinic encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure to the accuracy of the information and resolve identified issues. Ensure compliance with official guidelines (ICD-10-CM, AHA Coding Clinic, AMA CPT Assistant and Guidelines), AHIMA Standards of Ethical Coding, and LifePoint Health Support Center (HSC) policies and procedures.
A Outpatient Coding Specialist who excels in this role:
- Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM, CPT, and HCPCS according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing.
- Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.
- Must be familiar with Ambulatory Payment Categories (APCs, the Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) guidelines, Local and National Coverage Decisions, and other medical necessity/compliance guidelines for billing and coding.
- May verify, edit and/or enter charges based on documentation or payer/billing.
- Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.
- Follow coding workflows for service type to include addressing compliance reviews.
- Submit physician queries when clarification of documentation is needed.
- Facilitate a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive.
- May assist in training and reviewing the work of other coders for accuracy and efficiency.
- Make recommendations to the supervisor and implement and monitor results as appropriate in support of the overall goals of the department.
- Seek advice and guidance as needed to ensure proper understanding.
- Assist others with responsibilities and adjusts work schedule to meet department needs.
- Use independent discretion/decision-making while effectively working remotely.
- Attend required educational webinars, conference calls, and other coding seminars, and participate in all formal and informal coding discussions.
- Maintain coding education hours and renew annual coding credentials as applicable.
- Complete all assigned compliance courses within the designated period.
- Conform to AHIMA’s Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy, and ensure patient/employee privacy and dignity by maintaining confidentiality with no infractions.
- Other related job tasks or responsibilities as assigned.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
- Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
- Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
- Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
- Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
- Professional Development: Ongoing learning and career advancement opportunities.
What we’re looking for
- Education: Associate degree in health-related field preferred.
- Experience: One year of outpatient coding experience in an acute care hospital is required.
- Certifications: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT) preferred.
EEOC Statement
“Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”
You must be authorized to work in the United States without employer sponsorship.
Originally posted on Himalayas