CODING SPECIALIST

OCHIN; Oregon, Portland (IL, OR); Remote; USD 49,000 - 70,000; Full time

Job summary

Join a forward-thinking nonprofit organization dedicated to health care innovation. As a Coding Specialist, you'll play a crucial role in ensuring accurate coding services that optimize revenue and enhance patient care. This position offers the flexibility of remote work while being part of a collaborative team focused on improving health outcomes for underserved communities. With a commitment to employee well-being and professional growth, this role provides a unique opportunity to make a meaningful impact in the healthcare sector. If you're passionate about coding and healthcare, this is the perfect opportunity for you.

Benefits

Generous Compensation Package

Work-Life Balance

Professional Advancement Opportunities

Remote Work Flexibility

Qualifications

• 3+ years of experience in healthcare coding.
• Knowledge of Medicare, Medicaid, and private insurance billing.
• Ability to work independently in a remote environment.

Responsibilities

• Provide coding services for OCHIN member clinics.
• Review patient encounters for accurate code assignment.
• Maintain confidentiality and compliance with HIPAA regulations.

Skills

Medical Coding

Critical Thinking

Medical Terminology

Bilingual (Spanish)

Education

High School Diploma or GED

Associate's or Bachelor's Degree

Medical Coding Certification (CPC or CCS)

Tools

Epic Practice Management System

Job description

Job Type

Full-time

Description

MAKE A DIFFERENCE AT OCHIN

OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, providing the clinical insights and tailored technologies needed to expand patient access, grow and connect care teams, and improve the health of rural and underserved communities.

We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone.

At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values.

Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees' entire well-being by fostering a healthy work-life balance and opportunity for professional advancement. We are curious, collaborative learners who strive to live our values every day. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.

Position Overview

The Coding Specialist is responsible for providing high-quality healthcare coding services to one or more OCHIN member clinics or acute care hospital organizations. The Coder will recognize potential high-risk trends and develop techniques to optimize revenue, improve coding accuracy, and streamline the revenue cycle. Our team member will escalate difficult or unique coding problems with the Coding Operations Supervisor or Billing Supervisor assigned to the clinic, resolve issues, apply new information to future issues, and make suggestions to enhance our efficiency and effectiveness through process improvement with the assistance of their immediate supervisor. This position will enhance the billing department's reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

Essential Duties

• Provide efficient and effective coding services on behalf of our member clients in accordance with Payer requirements and organizational policies, while ensuring compliance to all coding guidelines.
• Abstract clinical data (diagnoses and procedures) from patient medical records and on-line patient data.
• Review and interpret patient encounters for accurate code assignment of all relevant diagnoses and procedures.
• Help fulfill the reimbursement needs of the member through review and recommendation or correct assignment of diagnosis and procedure codes which are critical to third party reimbursement.
• Research and obtain necessary information from provider/office via Epic in-basket when necessary per agreement.
• Demonstrated critical thinking skills, and ability to interpret, assess, and evaluate provider documentation.
• Assists in implementing solutions to reduce back-end coding errors.
• Meet assigned productivity goals.
• Establish and maintain positive working relationships with patients, payers, team members, clients and other stakeholders.
• Maintain confidentiality of patient information, organization data and information, and in compliance with HIPAA regulations
• Perform other specific projects related to billing, data entry and computer operations as required.
• Ability to communicate with physicians to obtain clarification for diagnoses/procedures.
• Utilizes electronic patient data system and clinical information system (EpicCare) to access patient encounter DocuSign Envelope ID: 5454B41D-B7A7-4A35-8C39-A0082DF41BCB information.
• Other duties as assigned.

Requirements

• A minimum of a high school diploma or GED, or a combination of relevant experience and some higher education is required.
• An Associate's or bachelor's degree in business or applicable area of study is preferred.
• Required certifications include: Medical coding from AAPC (CPC Certificate) or AHIMA (CCS Certificate)
• Maintain Certifications by completing any necessary training and obtain required CEU's.
• A minimum of 3 years of experience in similar or relevant role. 1 years of applicable experience desired.
• Previous FQHC/RHC experience preferred.
• Prior experience using Epic practice management system preferred.
• Knowledge of Medical Terminology is required for this role.
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge.
• Dual language skills, specifically in Spanish is a plus.

COVID-19 Vaccination Requirement

To keep our colleagues, members, and communities safe, OCHIN requires all employees-including remote employees, contractors, interns, and new hires-to be vaccinated with a COVID-19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.

Work Location and Travel Requirements

OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and many of our positions also support our member organizations on-site for new software installations. Nationwide travel is determined based on OCHIN business needs. Please inquire during the interview process about travel requirements for this position.

Work from home requirements are:

• Ability to work independently and efficiently from a home office environment
• High Speed Internet Service
• It is a requirement that employees work in a distraction free workplace

We offer a comprehensive range of benefits. See our website for details: https://ochin.org/employment-openings

Equal Opportunity Statement

OCHIN is an equal opportunity employer. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills for the benefit of our staff, our mission, and the communities we serve.

As an equal opportunity and affirmative action employer, OCHIN does not discriminate on the basis of race, ethnicity, sex, gender identity or expression, sexual orientation, religion, marital or civil union status, parental status, age, disability status, veteran status, or any other protected characteristics. All aspects of employment are based on merit, performance, and business needs.

Base Pay Overview

The typical offer range for this role is minimum to midpoint, with the midpoint representing the average pay in a national market scope for this position. Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will consider a wide range of factors directly relevant to this position, including, but not limited to, skills, knowledge, training, responsibility, and experience, as well as internal equity and alignment with market data.

#LI-Remote

Salary Description

Min-$49,939, Mid-$59,927, Max-69,915