Outpatient Coder

DaMar Staffing; Las Vegas (NV); On-site; USD 60,000 - 85,000; Full time

Job summary

DaMar Staffing is seeking a skilled Medical Coding Specialist to research and abstract outpatient codes for physician services, ensuring accuracy and billability. You will work with UMC coding guidelines and maintain compliance with CPT, HCPCS, ICD-10-CM/PCS, and reimbursement rules.

Responsibilities include identifying coding opportunities, reporting trends, and collaborating with management to implement improvements while upholding productivity and accuracy standards in a hospital/physician

Qualifications

• Equivalent to graduation from high school and two (2) years of outpatient coding experience.
• Formal education in a related field may be substituted for experience year-for-year.

Responsibilities

• Research and abstract medical codes to ensure accurate, complete, and billable outpatient/physician services.
• Identify coding opportunities and recommend improvements.
• Monitor trends and escalate discrepancies to management.

Skills

Attention to detail

Data abstraction

Denials management

Communication

Medical terminology

Education

High School Diploma

2 years outpatient coding experience

Tools

3M 360 encoder

Electronic Health Record (EHR) systems

Job description

Job Description

Job Description

My Next Career Path Staffing - With over 20 years’ experience in Technology Staffing, MNCP Staffing matches candidates to the culture of an organization as well as required skill sets

Position Summary:

Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services for UMC. Identifies and reports coding opportunities and recommendation for improvement. Monitors and reports trend and escalates discrepancies to management.

Job Requirement

Education/Experience:

Equivalent to graduation from high school and two (2) years of outpatient (physician’s office, ambulatory surgery centers, emergency department, or multidisciplinary medical practice/group coding experience. Formal education in a related field may be substituted for experience on a year-to-year basis.

Licensing/Certification Requirements:

To include one or a combination of the following:

• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)
• Certified Outpatient Coder (COC)
• Certified Coding Specialist - Physician based (CCS-P)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)

Knowledge, Skills, Abilities, and Physical Requirements

Knowledge of:

Outpatient code sets including CPT, HCPCS, ICD10-CM/PCS, and Medicare hospital and physician outpatient coding and reimbursement regulations; current healthcare based technology and Electronic Health Record (EHR) practices; coding guidelines; departmental policies and procedures; medical terminology, anatomy and physiology, disease process and minor surgical procedures; laws, codes, rules and regulations governing area of assignment; revenue cycle workflows (charges/charge master, code edits, auditing, denials management, and document improvement); department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures.

Skill in:

Coding and maintaining department specific quality standards and meet productivity standards as documented by the department and organization; reviewing and abstracting information; data collection, manipulation and retrieval; reviewing and checking documents to ensure completeness and accuracy; meeting strict productivity standards; concentrating for long periods of time while dealing with distractions; reporting inconsistencies and discrepancies with established standards and guidelines; using 3M 360 or similar integrated encoder computer assisted coding systems; Webex; running queries; reviewing denials; preparing technical reports; paying attention to detail and accuracy; handling patient and organizational information in a confidential manner; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.

Physical Requirements and Working Conditions:

Mobility to work in a typical office setting and use standard equipment, sit and retain concentration for extended periods of time, vision to read printed materials and VDT screens, and hearing and speech to communicate effectively in-person and over the telephone. Strength and agility to exert up to 20 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.