Senior Ambulatory Surgery Facility Coder - Remote

Your job is more than a job

The Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist.

Your Everyday

GENERAL DUTIES

Coding and Computer Related Knowledge:

• Gains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and HCPCS codes to reflect services provided. Also implements knowledge of software programs related to EHR coding and billing.

Regulatory and Payer Knowledge:

• Implements knowledge of federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. Follows compliance requirements for Medicare and/or other third-party payers.

Claim Edits, Denials and Follow-Up Knowledge:

• Reviews coding claim edits and denials for assigned charts and processes coding claim edits, denials and appeals according to guidelines.

Productivity and Accuracy:

• Meets productivity, accuracy competencies and learning milestones as outlined in the program.

Participation and Engagement:

• Participates in the Coding Training Program.

Privacy, Confidentiality and Standards of Conduct:

• Complies with the organization's compliance and privacy program and standards of conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct, patient/employee safety, patient privacy and/or other compliance-related concerns.

The Must-Haves

EDUCATION/EXPERIENCE QUALIFICATIONS

• Required: High School Diploma/GED or equivalent and 3 years of work experience, or Associate’s and 1 year of experience, or Diploma/Certification in Coding and 1 year of experience.
• Preferred: Associate's Degree in HIM or similar or Completion of AHIMA Approved coding program or AAPC coding program.

Preferred:

LICENSES AND CERTIFICATIONS

A certification in the following areas is also preferred:

• Registered Health Information Technician from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA
• Registered Health Information Administrator from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA
• Certified Coding Specialist from the Commission on Certification for Health Informatics and Information Management (CCHIIM)

SKILLS AND ABILITIES

• Basic knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines
• Basic knowledge of medical terminology, anatomy and physiology, diagnostic, and procedural coding (PCS /CPT) and MS-DRG or APC grouping and components of charge description master for charging functions as needed.
• Basic knowledge of Prospective Payment System (PPS) methodology for inpatients; knowledge of payment methodology for outpatient, ambulatory and/or provider-based clinic encounters.
• Ability to use standard desktop and windows-based computer system, including basic understanding of email, internet, and computer navigation.
• Excellent oral, written and interpersonal communication skills.
• System Knowledge - 3M 360 Encoding and Grouping Software, EPIC HB or PB Coding modules.
• Basic knowledge of documentation regulations for inpatient, outpatient or ambulatory records.

WORK SHIFT:

Originally posted on Himalayas