Coder I - Ancillary Coding & Claim Edits (Remote)

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

Job summary

A leading healthcare provider is seeking a Remote Coding Specialist I to code outpatient healthcare records accurately. The candidate will utilize coding software, collaborate with clinical staff, and need certification in health coding. The position offers full-time employment with a competitive hourly pay range based on experience.

Qualifications

• Certifications such as CCA, CPC, COC, RHIT, RHIA, or CCS are required.
• One year of outpatient coding experience preferred.

Responsibilities

• Review electronic health records to assign ICD & CPT codes.
• Investigate unbilled accounts to determine reasons for delays.

Skills

Strong communication

Organizational skills

Analytical skills

Education

Completion of an AHIMA or AAPC-approved coding program

Associate’s degree in Health Information Technology

Bachelor’s degree preferred

Tools

3M encoder

EPIC EMR

Coding software or CAC

Job description

Employment Type: Full time

Shift: Day Shift

Description: The Remote Coding Specialist I - Ancillary Coding & Claim Edits is responsible for coding outpatient healthcare records (lab, radiology, cardiology, bone density, facility clinics, and series such as PT/OT/SP, infusion, radiation, wound care) by assigning ICD-10-CM codes for diagnoses and validating CPT codes for procedures. The role involves reviewing and responding to NCCI, OCE, LCD & NCD edits during the coding process. The specialist uses EPIC and 3M software to ensure complete and accurate coding, investigate unbilled accounts, and collaborate with clinical staff to support documentation and coding accuracy. Experience in outpatient surgery, infusion, and wound care coding is preferred, with a minimum of 2 years of coding experience recommended.

Essential Functions and Responsibilities

• Review electronic health records to assign appropriate ICD & CPT codes for diagnoses and procedures.
• Utilize 3M encoder and electronic code books to follow coding guidelines.
• Abstract outpatient data into EPIC for research, quality improvement, and reporting.
• Use NCCI, OCE, LCD, and NCD edits to verify coding accuracy and completeness.
• Code accounts timely according to payor’s deadlines.
• Investigate unbilled accounts, determine reasons for delays, and coordinate with relevant departments for completion.
• Collaborate with medical staff and documentation specialists to ensure documentation supports accurate coding.
• Participate in departmental and interdepartmental projects and committees.

Minimum Qualifications

• Completion of an AHIMA or AAPC-approved coding program, or an associate’s degree in Health Information Technology or related field; bachelor’s degree preferred.
• Certifications such as CCA, CPC, COC, RHIT, RHIA, or CCS are required.
• One year of outpatient coding experience preferred.
• Experience with encoding/grouping software or CAC, and EPIC EMR experience are preferred.
• Strong communication, organizational, and analytical skills, with the ability to work independently in a virtual environment.

Hourly Pay Range: $21.10 - $31.65, based on experience

Our Commitment

We are committed to diversity and inclusion and are an Equal Opportunity Employer. We value the unique perspectives and talents of our colleagues and strive to provide a supportive environment for all.