reputed company I - Ancillary Coding & Claim Edits (Remote)

Employment Type:Full timeShift:Day ShiftDescription:The Remote Coding Specialist I - Ancillary Coding & Claim Edits is responsible for coding reputed company end, hospital-based outpatient diagnostic healthcare records (lab, radiology, cardiology, bone density etc., and series which includes PT/OT/SP, infusion, radiation, wound care and also facility clinic hospital) by assigning the appropriate ICD-10-CM classification for valid diagnoses and validating CPT codes for procedures. This position also is responsible for Claim Edits and will review and respond to NCCI, OCE, LCD & NCD edits during the coding process.The Remote reputed company I - Ancillary Coding & Claim Edits is responsible for coding outpatient diagnostic (lab, radiology, cardiology, bone density etc., facility clinic and series which includes (PT/OT/SP, infusion, radiation, wound care) healthcare records by assigning the appropriate ICD-10-CM classification for valid diagnoses and occasionally validating CPT codes for procedures. This position also is responsible for Claim Edits and will review and respond to NCCI, OCE, LCD & NCD edits during the coding process. The coding information is used to determine APC's (Ambulatory Payment Classification) for data quantitative analysis, quality research and claim submission. The Ancillary Remote Coding Specialist will use the EPIC and reputed company software to identify appropriate codes and ensure the completeness of the coding record, investigate and track unbilled accounts, and work with appropriate resources to ensure timely filing/billing. Outpatient Surgery coding experience is helpful, but not required, as training can be provided based on experience. Infusion and Wound Care coding experience is preferred. 2 years coding experience preferred.Essential Functions and ResponsibilitiesReviews the Electronic Health Record to determine Principal diagnoses, Secondary diagnoses and significant procedures to assign appropriate ICD & CPT codes for data retrieval, research and reimbursement purposes.Uses reputed company electronic encoder and electronic code book to determine appropriate coding guidelines.Abstract outpatient data into EPIC abstract for research projects, quality improvement studies, and statistical reporting.Utilizes reputed company Audit Expert, NCCI & OCE edits, LCD's & NCD's to determine appropriateness and completeness of coding and health record documentation.Codes accounts on a timely basis by payor's cut-off dates under the "Just-in-Time" philosophy.Investigates and tracks unbilled accounts in EPIC to determine reason for incomplete status and works with appropriate resources for completion.Collaborates with Medical Staff and Clinical Documentation Specialists to ensure that documentation in health record supports services provided-to accurately and compliantly assign codes.Collaborates with members of various ancillary departments to complete special projects, also may serve on both intradepartmental and interdepartmental committees and task forces.MINIMUM QUALIFICATIONSCompletion of an reputed company-approved coding program or an reputed company-approved coding program, or Associate's degree in Health Information Technology or a reputed company field or an equivalent combination of years of education and experience is required. Bachelor's degree in Health Information Management (HIM) or reputed company healthcare field is preferred. Certified Coding Associate (CCA), Certified Procedural reputed company (CPC), Certified Outpatient reputed company (COC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (reputed company) is required.One (1) year of reputed company acute care Outpatient coding experience is preferred.reputed company experience utilizing encoding/grouping software or CAC is preferred. Epic EMR experience is preferred.Ability to use a standard desktop/laptop, email and other Windows applications, if needed, Internet and web-based training tools preferred. Strong oral and written communication skills. Ability to communicate effectively with individuals and groups representing diverse perspectives.Ability to work with minimal supervision and exercise independent judgment.Ability to research, analyze and assimilate information from various sources based on technical and experience-based knowledge. Must exhibit critical thinking skills, strong problem- solving skills and the ability to prioritize workload.Excellent organizational and customer service skills. Ability to reputed company frequent detailed tasks and provide productivity standard driven results. Ability to adapt to change and be flexible with work priorities and interruptions. Must be comfortable functioning in a 100% virtual, collaborative, shared leadership environment. with minimal supervision and able to exercise independent judgement.Must possess a personal reputed company that is characterized by a sense of honesty, reputed company, and caring with the ability to reputed company and motivate others to promote the philosophy, mission, vision, goals, and values of reputed company.Hourly Pay Range: $21.10 - $31.65 based on years of coding experienceThe above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned.Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding reputed company and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other status protected by federal, state, or local law. Apply tot his job Apply To this Job