Medical Coder

Aptino, Inc.; The Woodlands (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare coding company is seeking a professional to handle outpatient coding responsibilities, including assigning ICD-10 and CPT codes in accordance with guidelines. The ideal candidate will have 3-5 years of experience and certification in coding systems. Key duties include maintaining patient privacy, following coding processes, and collaborating with clinical staff. This role emphasizes accuracy and adherence to HIPAA guidelines, requiring a thorough understanding of HCC coding.

Qualifications

• 3-5 years of outpatient coding experience.
• Minimum of 2 years of HCC coding experience.
• Excellent knowledge of coding systems required.

Responsibilities

• Abstract relevant clinical and demographic information for coding.
• Identify eligible HCCs based on provider documentation.
• Follow coding processes and update them as directed.

Skills

ICD-10 coding

CPT coding

HCC coding

PHI handling

Education

High School diploma or equivalent

Certification (CPC, CRC, COC, or CCA)

Job description

Key Responsibilities (List the top five to seven essential responsibilities in priority order.):

• Abstracts relevant clinical and demographic information from the medical record to assign current ICD-10 and CPT codes in accordance with coding and reimbursement guidelines.
• Identifies eligible HCCs (Hierarchal Condition Coding) when appropriate in relation to -provided guidelines, with minimal error, based on provider documentation
• Follows coding processes and procedures along with updating them as directed by manager.
• Performs the minimum number of validations consistent with established departmental goals .
• Provides clear communication, with the ability to Identify and report quality concerns and errors.
• Able to query providers when appropriate.
• Requests documentation / diagnosis from provider when information is not recorded.
• Determines and records the required medical information and additions to the Problem List in the EHR in accordance to established guidelines.
• Works with appropriate clinic staff in coordinating medical information for completion of patient record with HCCs.
• Updates coding procedures and guidelines in coordination with Coding Manager
• Maintains the confidentiality of the medical information contained in each record.
• Patient information to be handled in accordance with HIPAA guidelines.
• Expected to be able to partner with practices and peers in a collaborative way in coordination with manager and director.
• Participates virtually in team and department meetings, educational sessions and events.
• Maintains patient privacy according to local and national laws, treating all patient and family information as privileged and protected.
• Follows Client ICARE and ILEAD policies.
• Follows and abides by remote employee guidelines.
• High School graduate or equivalent.
• 3-5 years of outpatient coding experience
• Minimum of 2 years of HCC coding
• Excellent knowledge of ICD-10 and CPT Coding Systems required
• Must be well versed in handling PHI.
• CPC, CRC, COC or CCA certification from the American Academy of Professional Coders or AHIMA