Position Overview
The Inpatient / Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement.
This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for : physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines.
Job Description
- Identifies trends and inconsistencies in provider documentation and coding practices.
- Audits and reviews medical records to determine if the medical record is complete, accurate, and in support of individual patient risk adjustment score accuracy.
- Develops curriculum to improve provider coding practices.
- Educates providers and their practice staff in coding guidelines.
- Works in collaboration with other departments, develop plans and materials that support education and system changes to ensure proper coding is a standard practice for all providers.
- Participates in the review and analysis of summary data. Assist with data collection and report generation.
- Maintains the confidentiality and security of sensitive information and files.
Minimum Qualifications
- Associate degree required.
- 3-5 years health care experience in a physician group practice or other ambulatory care setting preferred.
- 1+ years of medical coding experience with demonstrated sustained coding quality.
- In-depth knowledge of coding / classification systems appropriate for inpatient, outpatient, APR-DRG / MSDRG and APC / APG prospective payment systems
- Demonstrates advanced knowledge of CPT / HCPS / Revenue Code procedure coding, ICD-9 / ICD-10 coding principles and practices.
- Ability to research authoritative citations related to coding, compliance, and additional reporting requirements.
- Demonstrates overall knowledge of claims processing for various insurances both private and government
Licensure and / or Certification Required
Certification as a professional coder (CPC)
Professional Competencies
- Integrity and Trust
- Customer Focus
- Functional / Technical skills
- Written / Oral Communication
- Excellent verbal and written communication skills
- Excellent computer skills. Able to learn, use and toggle between multiple systems.
- Analytical skills and ability to create reports, charts, and graphs (e.g. Microsoft Excel)
- Ability to work independently or in a team setting, while handling multiple projects and adjusting to changes quickly while meeting all deadlines
Inpatient/Outpatient Coder
The Inpatient/Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. In-depth knowledge of coding/classification systems appropriate for inpatient, outpatient, APR-DRG/MSDRG and APC/APG prospective payment systems. Certific...
Inpatient/Outpatient Coder
The Inpatient/Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. In-depth knowledge of coding/classification systems appropriate for inpatient, outpatient, APR-DRG/MSDRG and APC/APG prospective payment systems. Certific...
Inpatient/Outpatient Coder
The Inpatient/Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. In-depth knowledge of coding/classification systems appropriate for inpatient, outpatient, APR-DRG/MSDRG and APC/APG prospective payment systems. Certific...
Remote Outpatient Surgery Coder
A company is looking for a Remote Coder for Outpatient Surgery. ...
Medical Assistant
Beyond this, you’ll have many opportunities to get the hands-on experience and credentials medical assistants require in the civilian world. ABOUTMedical emergencies happen and we need people who can take charge when they do. Whether you’re in a hospital or clinical setting, on a ship or submarine, ...
Front Desk Receptionist
AIYA Technology System LLC is a technology-based enterprise dedicated to the customization of online platforms, mobile development, one-stop website customization, and enterprise software development.With the perfect service system, comprehensive information resources, and strong marketing strength,...
Inpatient Coder II - Remote
The Inpatient Coder will play a crucial role in our client’s health information management team, focusing on the precision and integrity of inpatient coding. Accurately code inpatient records in a dynamic healthcare environment, ensuring adherence to the latest guidelines and regulations. Three or m...
Certified Medical Assistant
Become nationally credentialed as a Certified Medical Assistant on us!!!. The Certified Medical Assistant (CMA) will serve as a key member of the patient care team in an ambulatory setting. High school graduate or equivalency and graduated from an accredited Medical Assistant program. ...
Certified Medical Coder
Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations. Requires 5+ years of Medical Coding experience. ...
Hospital Based Inpatient Coder - Remote
Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software gui...