Coder I, Ancillary & Claim Edits (Remote)

Trinity Health Mid Atlantic; Livonia (MI); Remote; USD 60,000 - 80,000; Full time

Job summary

Un poste de Coding Specialist I - Ancillary Coding & Claim Edits (Remote) est ouvert dans une grande entreprise de soins de santé. Le candidat sera responsable du codage des dossiers de santé ambulatoire, en s'assurant de la précision des codes assignés et collaborant avec les services concernés. Une certification en codage et une expérience en matière de codage ambulatoire sont indispensables. Le travail se fait dans un environnement virtuel avec des horaires fixes en journée.

Qualifications

• Expérience de codage associée et certification requise.
• Un an d'expérience de codage ambulatoire dans un cadre de soins aigus.
• Connaissances en logiciels d'encodage et expérience avec EPIC souhaitées.

Responsibilities

• Examiner les dossiers de santé électroniques pour assigner des codes ICD et CPT.
• Utiliser 3M encoder et livre de codes.
• Enquêter sur les comptes non facturés et coordonner les équipes.

Skills

Communication

Independency

Research

Analysis

Prioritization

Education

Associate's degree in Health Information Technology

AHIMA or AAPC-approved coding program

Bachelor's degree (preferred)

Tools

3M encoder

EPIC EMR

Job description

Employment Type:

Full time

Shift:

Day Shift

Description:

The Coding Specialist I - Ancillary Coding & Claim Edits (Remote) is responsible for coding outpatient healthcare records (lab, radiology, cardiology, bone density, etc.) by assigning the appropriate ICD-10-CM codes for diagnoses and validating CPT codes for procedures. This role also involves reviewing and responding to NCCI, OCE, LCD & NCD edits during the coding process.
The specialist will use EPIC and 3M software to identify appropriate codes, ensure record completeness, investigate unbilled accounts, and collaborate with relevant departments to ensure timely billing. Experience in outpatient surgery, infusion, and wound care coding is preferred, with at least 2 years of coding experience recommended.

Essential Functions and Responsibilities

• Review electronic health records to assign ICD & CPT codes for data retrieval, research, and reimbursement.
• Use 3M encoder and code books to determine coding guidelines.
• Abstract outpatient data into EPIC for research and reporting.
• Utilize audit tools and edits to verify coding accuracy and documentation.
• Code accounts timely according to payor deadlines.
• Investigate unbilled accounts and coordinate with teams for completion.
• Work with medical staff to ensure documentation supports accurate coding.
• Participate in special projects and committees as needed.

Minimum Qualifications

Completion of an AHIMA or AAPC-approved coding program, or an associate’s degree in Health Information Technology or related field. A bachelor’s degree is preferred.

Certification such as CCA, CPC, COC, RHIT, RHIA, or CCS is required.

At least 1 year of current outpatient coding experience in an acute care setting.

Experience with encoding/grouping software or CAC, and EPIC EMR experience are preferred.

Strong communication skills, ability to work independently, research, analyze, and prioritize tasks effectively.

Comfortable working in a virtual environment with minimal supervision.

Hourly Pay Range: $21.10 - $31.65

The above description is not exhaustive and may include additional duties.

Our Commitment

We value diversity and are committed to equal employment opportunity regardless of race, color, religion, sex, sexual orientation, gender identity, or other protected status.