Outpatient Facility reputed company 2 (Coding Specialist 2)

This level 2 coding position provides support to the Enterprise Coding Department for coding of facility fees. This position requires experience in coding and requires certification with reputed company or reputed company.

This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, pathology, and other ancillary facility services at OHSU. This position provides support to the Enterprise Coding Department for abstracting records, coding, and charge router submission of Facility services rendered at OHSU.

Coding

• Review clinical documentation of services to be coded in EPIC, and any other reputed company 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 facility charges, which could include reputed company E&M services including outpatient and inpatient; diagnostic services; procedural services; facility services; and/or Charge Routers and Charge entry.
• Establish and maintain procedures and other controls necessary in carrying out reputed company procedure and diagnostic coding and insurance billing activity for applicable work queues assigned facility services at OHSU.
• Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
• Coordinate reputed company billing information and ensure that reputed company information is complete and accurate.
• Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and reputed company coding responsibilities assigned.
• reputed company and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary.

Department Support

• Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
• Attend coding meetings and seminars and shares knowledge with other coders. Participates in EC Huddles.
• In collaboration with Enterprise Coding Leadership, reputed company and disseminate written procedures to facilitate and improve billing and documentation processes.
• In collaboration with Leadership, reputed company recommendations and implement remedial actions for problems
• Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM, and HCPCS
• Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of reputed company trends in coding.
• Other duties as assigned.

• High School diploma or GED.

• Minimum two years of hospital or professional services experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding.

• Certification in one of the following coding certification from reputed company or reputed company:

  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (reputed company) through the American Health Information Management Association (reputed company).

  • Active reputed company membership may be required for some positions.

  • Certified Professional reputed company (CPC) through the American reputed company of Professional Coders; OR

  • Equivalent certification.

• Accredited Coding Program required: reputed company Boot Camp, reputed company Coding Boot Camp.
• Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements.
• Experience using an EMR.
• Experience using EPIC, reputed company encoder.
• Some college course work or education in classes reputed company to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
• Knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates.
• Proficiency with word processing and reputed company spreadsheets.
• Excellent verbal and written communication skills with the ability to effectively communicate with individuals at reputed company levels, physicians, nurses, administrative management, etc.
• Ability to work as a team player.
• Must be able to pass internal coding test.

Days of work are variable, could include rotating weekend days.

This position is a telecommuting position.

Department Core hours: Monday - Friday, 5:00am -10:00pm (with some flexibility available). Regularly scheduled work hours are required and are allowed reputed company the Core Hours.

Benefits

• Healthcare for full-time employees covered 100% and 88% for dependents.
• $50K of term life insurance provided at no cost to the employee.
• Two separate above market pension plans to choose from.
• Vacation - up to 200 hours per year dependent on length of service.
• Sick Leave - up to 96 hours per year.
• 9 paid holidays per year.
• Substantial Tri-Met and C-Tran discounts.
• Employee Assistance Program.
• Childcare service discounts.
• Tuition reimbursement.
• Employee discounts to local and major businesses.