Outpatient Coder (Remote)
Full-time Work From Home
Must have Surgical/OBS coding experience and documented billing edit experience
Ob Summary
As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position.
Job Responsibilities
- Verifying accuracy of assigned CPT codes for complex and/or error prone procedures
- Verifying the diagnosis coding accuracy for complex and/or error prone encounters
- Validating certain discharge dispositions
- Reviewing charge and procedure mismatches
- Reviewing codes with revenue integrity for NCD/LCD coverage
- Reviewing invalid codes, code conflicts, and missing modifiers
- Working with other team members in billing, revenue integrity, etc. to route or resolve alerts/edits
- Combining codes for payment window encounters
- Initiating rebills for miss coded encounters, and/or
- Assisting with resolution of accounts with HIM/Coding unbilled hold reasons preventing final billing
Qualifications
- Undergraduate (Associate's or Bachelor's) degree in HIM/HIT required
- Minimum 1 year hospital, acute care same day surgery outpatient coding and auditing experience required
- RHIA, RHIT or CCS preferred
- Payer focused, quality edits and customer complaints
MUST HAVE acute care facility coding experience across all OP work types including Same Day Surgery, Observation and specialities of Cardiology, IVR and Wound Care.