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Outpatient Hospital Reimbursement & Coding Specialist III, Remote
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Job Description
- Req#: 43812
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from various states, providing flexibility
- Supportive and collaborative work environment
- Chance to make a positive impact on coding accuracy and healthcare reimbursement
- Adherence to high coding quality standards and continuous improvement initiatives
What to Expect (Job Responsibilities):
- Assign and sequence diagnosis and procedure codes for inpatient and outpatient encounters based on medical record documentation
- Review and validate accuracy of Admission-Discharge-Transfer (ADT) data fields and address coding edits as necessary
- Collaborate with leadership to obtain additional information for ambiguous documentation through physician clarification processes
- Follow charge verification processes for outpatient coding and ensure compliance with coding policies
- Participate in performance improvement initiatives and maintain productivity and quality standards
What is Required (Qualifications):
- Must possess coding certification (e.g., RHIT, RHIA, CCS, CPC, or CPC-H)
- Minimum of 4 years of coding experience in an acute care hospital
- Knowledge of coding conventions and CMS Official Guidelines for Coding and Reporting ICD-10-CM
- Strong communication skills, both written and oral
- Proficient in navigating Electronic Medical Records and basic MS Office applications
How to Stand Out (Preferred Qualifications):
- BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program
- Experience in a Level 1 Academic medical center
- Familiarity with clinical content standards
- Demonstrated ability to optimize coding for reimbursement
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