Jun 19, 2024

Outpatient Coder III - HF Coding and Documentation

  • Health First
  • Melbourne, FL, United States
(CPC) Certified Professional Coder (COC) Certified Outpatient Coder

Job Description

Candidate to be considered must reside in the state of Florida. This is a work from home opportunity with majority being remote work

Position Summary

To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement.

Primary Accountabilities

1. Maintain and observe patient confidentiality as outlined in the National Patient Safety Goals and HIPAA guidelines protecting the confidentiality of the health record at all times and refuse to access protected health information not required for coding-related activities.

2. Knowledge of the regulatory environment and legislation related to code assignment changes, local coverage determinations, and national coverage determinations.

3. Ensures that all work areas and equipment, whether remote or on-site, are in safe and working condition.

4. Literacy and proficiency in computer technology and Health Information/Coding applications needed for departmental efficiency and job performance.

5. Interpret clinical documentation to ensure codes reported are clearly and consistently supported by the health record.

6. Maintain coding accuracy as per departmental standards-approving, editing, and assigning ICD 10 and CPT-4 codes in the computer assisted coding application based on physician documentation in accordance to coding and compliance guidelines.

7. Notification to medical records/registration personnel of any identified discrepancies of patient information in the medical record.

8. Knowledge of structure and content of the electronic health record displaying ability and competency to navigate the EHR accurately and efficiently for data quality collection and code assignment and other required abstraction.

9. Attends department meetings, coding roundtables, and departmental educational opportunities.

10. Earn 7 CEU's yearly related to coding profession.

11. Review Coding Clinic for ICD 10 quarterly updates and complete coding clinic quizzes.

12. Excellent communication, problem solving and critical thinking skills.

13. Provide professional and courteous communication to customers, families, physicians, other associates, and leadership at all times.

14. Respond and relay documentation/coding issues and concerns from and to Health First departments and physician's offices in a polite and considerate demeanor, utilizing the highest standard of customer services skills.

15. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.

16. Always displays professionalism and respect; every person, every time

17. Maintains productivity standards according to departmental guidelines.

18. Meets discharged not final coded (DNFC) departmental goals.

19. Responds timely to pre-bill edits received ensuring a prompt turn-around-time to assist in facilitating an efficient revenue cycle.

20. Analyze and reply to denial management issues presented identifying documentation concerns and validating accuracy and completeness in code assignment.

21. Provide departmental coding coverage by cooperating with occasional schedule revisions and overtime requests when staffing needs arise.

22. Accountable and dependable time and attendance record to ensure daily workflow and departmental productivity guidelines are met.


* Education: High School Diploma

* Work Experience: 3 years outpatient coding experience.

* Licensure: N/A

* Knowledge/Skills/Abilities:

* ICD-10 CM/PCS and CPT-4 Official Coding Guidelines

* AMA Coding Clinics for ICD10, AMA Coding Clinic for HCPCS, AMA CPT Assistant, National Correct Coding Initiative edits, National and Local Coverage Determinations

* Medical terminology

* Anatomy and physiology

* Computer Applications


Certification (AHIMA or AAPC)

4 years outpatient coding experience

Successful completion of internal outpatient coding assessment with passing score of at least 85%.

PHYSICAL REQUIREMENTS (ADA, Travel, Environment, Noise)

1. Ability to sit at a computer for extended periods of time.

2. Visual acuity and ability to view computer screen for extended periods of time.

3. Ability to enter data using hand/wrist dexterity.