5 edits coder jobs found in Portland

Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician fees. This position requires experience in coding and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). Assign correct CPT, ICD-10-CM, and HCPCS codes for professional charges, which could include all E&M services including outpatient and inpatient; diagnostic services; procedural services; and/or Charge Routers and Charge entry. Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned professional services at OHSU. Monitor activity for compliance with federal and/or state laws regarding correct...

Only applicants who reside in Oregon or Washington will be considered. JOB SUMMARY The Certified Professional Coder is responsible for ensuring accurate, timely, and compliant coding and charge capture of all assigned claims while ensuring compliance with ICD-10, CPT, and HCPCS guidelines. This position supports revenue cycle performance by reviewing charge sessions in Epic Charge Review, auditing auto-released claims, resolving coding-related denials and claim edits, and providing monthly education and performance feedback to assigned providers. MAJOR RESPONSIBILITIES Coding Review -Review and resolve charge sessions routed to Epic Charge Review work queues., Validate CPT, HCPCS, ICD-10-CM, and modifier selection for accuracy and compliance. Ensure documentation supports all reported services. Correct coding discrepancies prior to claim submission. Maintain productivity standards while ensuring coding quality and compliance. Claim Quality Assurance -Audit auto-released...

Department Overview This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance...

Inpatient Coder Position This level 3 coding position provides support to the Enterprise Coding Department for the coding of Inpatient services. The Inpatient Coder position requires certification and active credential status with AHIMA and advanced coding experience in the highly specialized areas of Inpatient coding. Function/Duties of Position Inpatient Coding at 95% or above accuracy. Abstract information from inpatient medical records to assign correct codes following the ICD 10 guidelines. Identify query opportunities. Verify Account Class, Attending provider, and Discharge Disposition in Epic. Assign codes via 3m 360. Resolve with coding leads and billing, any issues, coding denial requests or questions as part of coding denial process. Follow team procedures necessary in carrying out ICD 10 coding on cases in the Uncoded IP accounts work queue in Epic. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and...

Department Overview This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. The role requires advanced coding experience in highly specialized areas and certification with AAPC or AHIMA. Function/Duties of Position Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD‑10‑CM, HCPCS, or ICD‑10‑PCS and DRGs for facility and/or professional charges, involving complex procedure and diagnostic coding within highly specialized areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). Coordinate patient encounter billing...