Hospital Outpatient Coder

Moffitt Cancer Center; Orlando, Tampa (FL, FL); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Hospital Outpatient Coder for a full-time remote position. This role involves reviewing and coding diagnoses and procedures, ensuring compliance with coding guidelines, and optimizing reimbursement processes. The ideal candidate will have substantial experience in outpatient coding, familiarity with ICD-10-CM, CPT, and HCPCS coding systems, and hold relevant certifications. This position offers a supportive environment where your contributions will enhance patient care and operational efficiency. If you're passionate about coding and seeking a rewarding opportunity, this role is perfect for you.

Qualifications

• Must have coding experience with ICD-10-CM, CPT, and HCPCS.
• Certifications like CCS or CPC are required.

Responsibilities

• Assign codes for diagnoses and procedures using ICD-10-CM, CPT, and HCPCS.
• Review medical records to ensure accurate coding.

Skills

Health Care Outpatient Coding

ICD-10-CM Coding

CPT Coding

HCPCS Coding

Communication Skills

Interpersonal Skills

Education

High School Diploma/GED

Two years of health care outpatient coding experience

Tools

Cerner Electronic Health Record

OPTUM Enterprise Computer Assisted Coding

3M Encoder

Soarian Financial Billing System

MS Office (Word, Excel, Zoom, Outlook)

Job description

Moffitt Cancer Center in Tampa, FL is recruiting for HOSPITAL OUTPATIENT CODER. For Florida residents and other select states (AL, AZ, AR, FL, GA, ID, IN, IA, KS, LA, MS, MO, MT, NC, OH, OK, SC, SD, TN, TX, UT, VA, WY) this full-time remote position offers a remote work arrangement.

Position Highlights:

The Hospital Outpatient Coder reviews, analyzes, and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding (HCPCS) coding. The Hospital Outpatient Coder promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. In addition, this position ensures compliance with established coding guidelines, federal regulations, and accreditation guidelines.

Responsibilities:

• Determine the proper codes and modifiers for all billable services utilizing ICD-10-CM, CPT, and HCPCS code sets in accordance with coding compliant guidelines, federal regulations, and accreditation guidelines.
• Analyze and review medical record documentation for the purpose of assigning diagnosis and CPT codes for submission to insurance payers.
• Code 100% of medical records/encounters for each assigned clinic or encounter type by following quality standards as outlined in the Productivity and Quality KPI Operational Guidelines - HIM Facility OP Coding.
• Utilize time management to ensure that all codes are audited and correctly entered or added. All edits are resolved timely.
• Alert coding supervisor and manager of any issues that prevent coding of encounters.
• Perform the query process to clarify and confirm clinic documentation.
• Maintain credentials/certification and education to stay current with all coding of ICD-10-CM and CPT codes.
• All other duties as assigned.

Credentials and Education:

• High School Diploma/GED.
• Two (2) years health care outpatient coding experience with ICD-10-CM, CPT, and HCPCS classification systems for more than one outpatient specialty.

Certifications Required: Must have one of the following certifications:

• (CCS) Certified Coding Specialist.
• (CPC) Certified Professional Coder.
• (CPMA) Certified Professional Medical Auditor.
• (COC) Certified Outpatient Coder.
• (CCS-P) Certified Coding Specialist - Physician.
• (RHIT) Registered Health Information Technician.
• (RHIA) Registered Health Information Administrator.
• Any relevant certification not listed above but issued from a governing body may be reviewed and considered to satisfy this requirement.

Additional Skills/ Specialized Training Required:

• Experience in coding hospital electronic medical records.
• Excellent communication and interpersonal skills.
• Experience with automated patient care and coding systems (Cerner Electronic Health Record, OPTUM Enterprise Computer Assisted Coding, 3M encoder, Soarian financial billing system).
• Competence with MS Office software (Word, Excel, Zoom, and Outlook).
• Knowledge of American Healthcare Association (AHA) coding clinic guidelines, ICD-10-CM and CPT coding guidelines, CMS guidelines, AHIMA and AAPC code of ethics.