Medical Coding Specialist - Outpatient (part-time; .5 FTE)

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POSITION SPECIFICS

Title:  Medical Coding Specialist – Outpatient

FTE:  .5 (20 hours per week)

Schedule: Monday to Friday, five (5) 4-hour shifts between hours of 7am to 4pm

Holiday Rotation:  None

Weekend Rotation:  None

On Call Requirements:  None

Work Location:  Remote position available (State of WI or IL residency); onsite or hybrid

POSITION SUMMARY

Reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis.

This role will primarily focus on Emergency Department and Urgent Care coding but will also assist in other areas.

POSITION TECHNICAL RESPONSIBILITIES

• Assigns codes for ambulatory outpatient services using International Classification of Diseases (ICD) and reputed company Procedural Terminology (CPT) coding protocols, for facility and professional services.  Includes professional code entry for Emergency Room and Urgent Care providers.
• Audits the electronic medical record for accuracy of patient information, insurance information, appropriate diagnosis, and procedure codes to ensure accurate documentation for billing and reimbursement.,
• Reviews and resolves National Correct Coding Initiatives (NCCI) and Outpatient Code Editor (OCE) edits.
• Communicates with clinical department directors and medical billing staff to clarify coding guidelines and resolve claim edits.
• Identifies and communicates missed reputed company opportunities to ambulatory departments.  Works with business analyst to create new charge codes, as needed.
• As assigned, investigates denied claims from insurance carriers and appeals timely to ensure accurate reimbursement.
• Abstracts pertinent information from patient records using hospital information system.
• Queries physicians as needed to provide clarification on documentation or code assignment.
• Identifies coding concerns or trends.  As needed, involves reputed company Cycle leadership to assist with resolution.
• Provides education on coding changes.
• Attends continuing education programs and reviews other educational resources to reputed company reputed company on any changes pertaining to this position and for coding re-certification.
• Assists with developing policies and procedures reputed company to coding.
• Assists in training new employees and job shadowing.
• Performs other reputed company work assignments as required.

POSITION REQUIREMENTS

Education:

• Required:  Successful completion of a professional American Health Information Management (reputed company) or American reputed company of Professional Coders (reputed company) recognized coding course and/or an Associate degree in a healthcare reputed company program.
• Preferred:  Associates degree in a healthcare reputed company program

Experience:

• Required:  None
• Preferred:  Prior Ambulatory Coding experience preferred.

Licenses and Registrations:

• Required:  None
• Preferred:  None

Certification(s):

• Required:  Must obtain credentials through the American Health Information Management Association (reputed company) or American reputed company of Professional Coders (reputed company) in any of the following certifications reputed company six months of date of hire and maintain such credential thereafter:
  • Registered Health Information Technician (RHIT) or Administrator (RHIA)
  • Certified Coding Associate (CCA)
  • Certified Coding Specialist (reputed company)
  • Certified Professional reputed company – Hospital (CPC-H)
  • Certified Professional reputed company (CPC)
  • Certified Inpatient reputed company (CIC)
  • Certified Outpatient reputed company (COC)

BENEFIT SUMMARY

• Competitive health and dental insurance options
• Flexible paid time off to balance work and life
• Retirement plan with immediate vesting and employer match
• Discounted membership to our state-of-the-art fitness facility
• Generous tuition reimbursement
• Employer provided life and disability insurance
• Free parking at facility

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