CODERS - Inpatient and Outpatient - Remote

The Regional Municipality of Durham; United States; Remote; USD 45,000 - 75,000; Full time

Job summary

A leading healthcare organization is seeking Remote Coders for Inpatient and Outpatient positions. This role involves assigning and sequencing ICD-10 codes from clinical documentation to support billing and compliance. The position offers flexible schedules, tuition assistance, and a collaborative work environment.

Benefits

Flexible schedules

Tuition Assistance up to $5,250

Competitive Health, Dental, Vision plans

403(b) retirement savings plan

Collaborative team environment

Qualifications

• High School Diploma or GED required.
• Read and assign ICD-10 and CPT codes accurately.
• Skills in compliance with coding guidelines.

Responsibilities

• Assign ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes for inpatient and outpatient records.
• Review documentation for accuracy and compliance.
• Assist with proper coding interpretation for reimbursements.

Skills

Knowledge of medical terminology

Knowledge of anatomy and physiology

Knowledge of medical record requirements

HIPAA privacy rules knowledge

Education

High School Diploma or GED

Certification as CCS or RHIT or RHIA

CCA (Certified Coding Apprentice)

CPC or CPC-H certification

CIC or Certified Inpatient Coder

Job description

CODERS – Inpatient and Outpatient - Remote

Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.

HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With more than 16,000 team members, 4,000+ affiliated providers and over 1,100 volunteers, HonorHealth seamlessly blends collaborative care and approachable expertise to improve health and well-being. People often say care feels different here -- because it does. Learn more at HonorHealth.com.

Flexible, remote Inpatient and Outpatient Coding positions are available in Alabama, Arkansas, Arizona, Iowa, Michigan, Minnesota, Missouri, Nevada, North Carolina, Pennsylvania, Texas, Wisconsin and West Virginia.

What’s in it for you?

• Flexible schedules
• Tuition Assistance up to $5,250* per year for full-time and part-time employees
• Competitive Health, Dental, Vision and 403(b) retirement savings plan
• Collaborative fun teams and much more!

Job Summary:
Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes through review of inpatient or outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance.

• Inpatient: Assigns and sequences ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for inpatient accounts within HonorHealth. Reviews physician documentation & coding for appropriateness & accuracy and makes corrections following Medicare & AMA coding guidelines. Utilizes electronic medical record and computer-assisted coding (CAC) software. Addresses applicable coding edits. Assigns DRGs as applicable.

Outpatient: Assigns and sequences ICD-10-CM, CPT and HCPCs diagnostic and procedural codes for outpatient accounts within HonorHealth. Reviews physician documentation & coding for appropriateness & accuracy and makes corrections following Medicare & AMA coding guidelines. Utilizes electronic medical record and computer-assisted coding (CAC) software. Addresses NCCI, OCE, LCD, and other applicable coding edits.

• Inpatient: Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments. Reviews and analyzes medical records for accurate ICD code selection.

Outpatient: Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments. Reviews and analyzes medical records for accurate ICD and CPT code selection.

• Inpatient/Outpatient: Communicates and assists in education with an audience that may include physicians and clinical staff.

• Inpatient: Assists Patient Financial Services with interpretation and selection of appropriate ICD codes and /or other information requested for accurate billing and reimbursement. Possesses knowledge and understanding of failed bill parameters.

Outpatient: Assists Patient Financial Services with interpretation and selection of appropriate ICD, CPT, and HCPCs codes and /or other information requested for accurate billing and reimbursement. Possesses knowledge and understanding of failed bill parameters.

• Inpatient/Outpatient: Performs outpatient charge validation/reconciliation for outpatient coding to ensure all submitted charges are posted timely and balance with total submitted charges. Assigns charges as applicable.

• Inpatient/Outpatient: Resolves routine coding issues/problems and appropriately seeks assistance from supervisor.

Position Qualifications:

• High School Diploma or GED
• Inpatient: Knowledge of medical terminology, anatomy and physiology, knowledge of medical record requirements, HIPAA privacy rules, and assigning and sequencing ICD-10-CM and ICD-10-PCS codes.

Outpatient: Knowledge of medical terminology, anatomy and physiology, knowledge of medical record requirements, HIPAA privacy rules, and assigning and sequencing ICD-10-CM, CPT, and HCPCs codes.

• CCA (Certified Coding Apprentice) with successful certification of CCS in 6 months OR

Inpatient:
CCS (Certified Coding Specialist), or
CIC (Certified Inpatient Coder), or
RHIT (Registered Health Information Technician) or
RHIA (Registered Health Information Administrator)

Outpatient:
CPC-H (Certified Professional Coder-Hospital Outpatient), or
CPC (Certified Professional Coder), or
COC (Certified Outpatient Coder), or
CCS (Certified Coding Specialist), or
RHIT (Registered Health Information Technician) or
RHIA (Registered Health Information Administrator)

*terms and conditions apply

For immediate consideration, please apply online: https://bit.ly/43zKLUb

Questions, email Lyndsey: [e-mail]

It is the policy of HonorHealth to provide equal opportunity in employment. Selection and employment of applicants will be made on the basis of their qualifications without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, veteran status or any other legally protected status.