Outpatient CDS/ Coder

Valleywise Health; Phoenix (AZ); Hybrid; USD 47,000 - 69,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Plans

Tuition Reimbursement Programs

Paid Time Off and Holidays

ASRS Retirement Match

Job summary

Valleywise Health is seeking an experienced Outpatient CDS/Coder to join our CDI team. This hybrid role blends production coding with clinical documentation integrity work while expanding capabilities in CDI.

You will review documentation, educate providers, and support HCC/risk adjustment initiatives, maintaining coding accuracy in a fast-paced ambulatory setting.

Qualifications

• Requires an associate degree in Health Information Technology or equivalent experience.
• Three years of outpatient coding experience in primary care/clinic.
• Experience with Medicare AWVs and HCC reporting.
• Preference for HCC coding and value-based reporting.
• Ability to pass coding exam and use EHR/encoder systems.

Responsibilities

• Perform production coding in outpatient settings.
• Review clinical documentation for accuracy and compliance.
• Generate compliant queries and educate providers.
• Support risk adjustment programs and documentation improvement.
• Balance coding with CDI responsibilities in a hybrid role.

Skills

Outpatient coding

HCC reporting

Coding accuracy

Annual Wellness Visit knowledge

Problem solving

Team collaboration

HIPAA compliance

Education

Associate degree in Health Information Technology

Tools

EPIC

3M Encoder

Microsoft Office

Electronic Health Records

Job description

Are you an experienced outpatient coder ready for something more?

We’re looking for an OutpatientCDS/Coder to join our Valleywise Health CDI team.

This is a unique hybrid role designed for an experienced outpatient coder who wants to expand their skills into Clinical Documentation Integrity while continuing to perform production coding.

You’ll build on your coding expertise through clinical documentation review, compliant query generation, provider education, risk adjustment, and documentation improvementwhile still coding and staying connected to the work you know.

Strong outpatient coding experience is the foundation. We’ll help you grow the CDI side.

Valleywise Health is committed to providing high-quality, comprehensive benefits designed to help our employees and their families stay physically and financially fit. Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as:

• Medical, Dental, and Vision Plans
• Flexible Spending Accounts
• 100% Retirement Match in the Arizona State Retirement System (ASRS)
• Paid Time Off and Paid Holidays
• Sick and Extended Illness Bank
• Tuition Reimbursement Programs
• And much more!

Hourly Pay Rate: $34.15 - $50.37

Qualifications

Education:

• Requires an associate degree in Health Information Technology (HIT) or equivalent combination of training and experience in place of HIT degree.

Experience:

• Requires three (3) years of experience coding in a primary care provider’s office or facility-based provider clinic for internal medicine/family practice.
• Must know coding Medicare Annual Wellness Visits and HCC reporting guidelines.
• Prefers to have experience with HCC Coding.
• Prefers to have value-based reporting.

Specialized Training:

• Requires the ability to pass a coding exam before hire.
• Requires experience with Electronic Health Record, Encoder, and Microsoft Office software.
• Prefers to have experience with EPIC and 3M Encoder Software Systems.

Certification/Licensure:

• Must possess a CCS, CCS-P, COC, or CPC certification.
• Must possess a valid driver’s license.
• Prefer Certified Risk Adjustment Coder (CRC) and Certified Clinical Documentation Specialist-Outpatient (CCDS-O).

Knowledge, Skills, and Abilities:

• Must have in-depth knowledge and a clear understanding of coding principles to validate and apply missing, incomplete, or incorrect diagnosis ICD-10-CM & CPT codes.
• Must be able to demonstrate the difference between a problem-oriented visit, a preventative visit, and the Annual Wellness Visit criteria.
• Must clearly understand Hierarchical Condition Categories (HCC) and Risk Adjustment Factors (RAF).
• Must be able to demonstrate advanced knowledge of medical terminology, anatomy, and physiology.
• Must be able to communicate and have excellent customer service skills with physicians and ambulatory clinic staff about documentation and coding.
• Must be able to achieve and maintain appropriate CDS productivity standards established in the CDI Department Policy and Procedure.
• Must be able to abide by the Standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA) and AAPC.
• Must have a high level of understanding of computer applications, Microsoft Office, Electronic Health Records, and encoder systems.
• Knowledge of HIPAA recognizes a commitment to all medical charts' privacy, security, and confidentiality.
• Must have initiative and the analytical ability necessary to interpret data contained in records and to assign appropriate codes.
• Must be able to utilize problem-solving skills while assessing work queue or coding-related issues.
• Must prioritize and multitask workload and assignments to meet department objectives and goals.
• It requires the ability to work well independently, demonstrate independent decision-making, and work with others as a team.
• Ability to accept and incorporate critical comments/feedback.
• Well-organized and detail-oriented.
• Requires the ability to read, write, and speak effectively in English.
• Requires the ability to work both remotely and on-site in ambulatory clinics.
• Must have a valid driver’s license and be able to travel to ambulatory clinics, as needed, to perform provider education and shadow clinic workflows.
• Must have computer proficiency, including MS Windows, MS Office, and the internet.

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