MEDICAL CODING SPECIALIST - EPIC

OCHIN; United States; On-site; USD 33,000 - 52,000; Full time

Job summary

OCHIN is hiring a Coding Specialist to deliver accurate and compliant healthcare coding services for member clinics and acute care hospitals. You will extract clinical data, assign codes, and support revenue optimization through precise coding practices.

This role requires 5+ years in hospital coding with Epic, inpatient/outpatient experience, and relevant CPC/CCS/CDC credentials. A remote, home-office setup is supported with ongoing professional development and standard benefits.

Qualifications

• Minimum 5 years of hospital coding experience in Epic required.
• 5 years hospital coding for inpatient, emergency, swing bed, and surgical coding required.
• Knowledge of Medicare, Medicaid, MVA, Workers' Comp and private insurance billing/reimbursement preferred.
• Medical coding certifications CPC, CCS and/or CDC required.
• CIC or AHIMA inpatient certification highly desired.

Responsibilities

• Deliver accurate coding services for member clinics and hospital organizations in compliance with coding guidelines and payer requirements.
• Abstract and interpret clinical data from records to support code assignment.
• Review patient encounters to assign diagnosis and procedure codes ensuring accuracy and completeness.
• Support reimbursement optimization through accurate code assignments for claims.
• Escalate complex issues to supervisors and participate in process improvements.

Skills

Epic knowledge

Hospital coding

Medicare/Medicaid knowledge

CPC/CCS/CDC certs

CIC certification desired

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, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically 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.

Work Authorization

Candidates must be legally authorized to work in the United States on a permanent basis at the time of application.

This position is not eligible for employment visa sponsorship now or in the future. OCHIN does not provide sponsorship for employment-based visas or transfers of existing employment-based visas.

Position Overview:

The Coding Specialist plays a critical role in delivering accurate and high-quality healthcare coding services to OCHIN member clinics and acute care hospital organizations. This position is responsible for identifying potential high-risk coding trends, applying best practices to optimize revenue, and enhancing coding accuracy to support a streamlined and efficient revenue cycle.

The Coding Specialist proactively escalates complex or unique coding issues, collaborates with supervisors to resolve challenges, and applies newly acquired knowledge to future scenarios. Additionally, this role contributes to continuous improvement efforts by recommending process enhancements that increase operational efficiency and effectiveness.

Essential Functions:

• Accurate and Compliant Coding: Deliver efficient and accurate coding services on behalf of member clients, ensuring full compliance with payer requirements, organizational policies, and all applicable coding guidelines.
• Clinical Data Abstraction: Extract and interpret relevant clinical data-including diagnoses and procedures-from patient medical records and electronic health systems to support accurate code assignment.
• Code Assignment and Validation: Review and analyze patient encounters to assign appropriate diagnosis and procedure codes, ensuring accuracy and completeness for all relevant clinical information.
• Reimbursement Optimization: Support member organizations in achieving appropriate reimbursement by reviewing and recommending accurate code assignments that are critical to third-party payer claims.
• Provider Communication and Documentation Follow-Up: Conduct research and obtain additional information from providers or clinical staff via Epic In-Basket messaging, as needed and in accordance with established agreements. Messaging, as needed and in accordance with established agreements.
• Other duties as assigned.

Requirements

• Minimum 5 years of hospital coding billing and / or coding revenue cycle experience in Epic is REQUIRED.
• 5 years of experience in hospital coding for inpatient, emergency, swing bed, and surgical coding is REQUIRED
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge preferred.
• Medical coding from CPC, CCS, and/or CDC certificate is REQUIRED
• Certified Inpatient Coder (CIC) Or AHIMA Inpatient certification highly desired
• Prior to moving forward to the team interview, all candidates are required to complete a 50-60-minute competency assessment. The assessment gives us insights into how your strengths, preferences, and work style align with the OCHIN's nine core competencies. It's not about passing or failing-it's about understanding fit and setting you up for success.

Physical Requirements/Work Environment:

• Constant interpersonal skills, teamwork, and customer service. Frequent creativity, mentoring, presentations/teaching. Occasional decision making and independent judgment or action.
• Reading, speaking, writing, and understanding English.
• While performing the duties of the job, the employee is regularly required to sit for long periods of time; stand and walk; use hands to finger, handle or feel; reach with hands and arms.
• This position requires a virtual home-office environment, working remotely and will require that employees be on camera for all virtual meetings.
• The role routinely uses standard office equipment such as computers and mobile devices.

Base Pay Overview

OCHIN uses broadened pay bands to support equitable and market-aligned compensation practices. The final offer will be based on a variety of factors, including relevant skills, certifications, education, experience, training, responsibilities, internal equity, and market data.

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/career

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.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

For further information, please review the Know Your Rights notice from the Department of Labor.

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Salary Description

$23.56 -$37.69