Dec 27, 2025

Remote OP Coder

Job Description

Remote Op CoderThe Op Coder works outpatient coding related alerts / edits for Same Day Surgery, Observation, and Wound Care, accounts, predominately post initial / final coding.The CARS-II performs the alert / edit resolution activities in the applicable systems.The alerts / edits shall be worked and corrected according to the established procedures and thresholds, and communicated as appropriate.Position Duties :Compiles daily work list from eRequest, CRT and / or other alert / edit systemsTakes action and resolves alerts / edits for the following patient types following established procedures and thresholds :Same Day Surgery (SDC)Observation (OBV)Wound CareOutpatient Cardiac CathProvides back up / coverage as needed for :Emergency Dept (ED)Recurring (RCR)Clinical (CLI)Provider Office Visit (POV), as applicableEnters detailed notes to update eRequest to provide details if the alert / edit cannot be resolved or must be rerouted to another responsible party for research / resolutionCommunicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log)Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient claims subject to the payment window)Assists the Coding Leads and / or Coding Managers in resolving unbilled reason codes (URC)As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS-II) dutiesPeriodically works with their Manager to review individual work accomplishments, discuss work problems / barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progressionAdheres to all applicable coding and billing regulations and guidance, including but not limited to, CMS, AHA and HCA policies and guidelinesMeets all educational requirements as stated in Company and HSC policyReviews all official data quality standards, coding guidelines, Company policies and procedures and clinical / medical resources to assure coding knowledge and skills remain currentPractice and adhere to the Company's Code of Conduct philosophyPractice and adhere to the Company's Mission and ValuesOther duties as assignedMinimum Qualifications :Preferred Qualifications :Recent 3-5 years acute care OP Coding - Same Day Surgery, Observation, IVR, Cardiology, Wound Care in an Academic Level I Trauma facility.