Outpatient Coder

Emory Healthcare; United States; Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

Comprehensive health benefits that day

Student Loan Repayment Assistance & Re

Family-focused benefits

Wellness incentives

Ongoing mentorship, development, and领导

And more

Job summary

Emory Healthcare offers a remote Hospital Outpatient Coder Level II role, using ICD-9/ICD-10 and CPT coding for Ambulatory Surgery, GI, Infusion and Observation encounters across US sites.

You will collaborate with physicians, CDI specialists, and finance teams to ensure accurate billing, reporting, and regulatory compliance. The position emphasizes data quality, APC accuracy, and data extraction for reporting purposes.

Qualifications

• Two years acute care outpatient coding experience with outpatient diagnostic and ED coding.
• Knowledge of Official Coding Guidelines and AHA Coding Clinic.

Responsibilities

• The Hospital Outpatient Coder Level II uses clinical coding knowledge to assign ICD-9/ICD-10 and CPT codes to Ambulatory Surgery, GI, Infusion and Observation encounters.
• Works closely with physicians, clinical documentation improvement specialists, quality and patient finance staff to ensure accurate billing and reporting.
• Follows-up on CCI edits and claim rejections to facilitate billing and reimbursement processes.
• Ensures APC accuracy and proper data extraction into HIM abstracting system and data warehouse.

Skills

Outpatient coding

Education

CIRCC or CPC, CPC-H, CCA, RHIA, RHIT, CCS, CCS-P certified

Job description

Introduction

Emory HealthcareBe inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.

Benefits

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship, development, leadership programs
• And more

Location

Remote

This position is remote; however, applicants must be physically located and authorized to work in one of the following states:

• Alabama
• Arkansas
• Florida
• Georgia
• Illinois
• Louisiana
• Michigan
• New Hampshire
• North Carolina
• Ohio
• Pennsylvania
• South Carolina
• Tennessee
• Texas
• Virginia
• Wisconsin

Description

The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in billing, research, internal and external reporting, and regulatory compliance. Follows-up on CCI edits, claim rejections, and other issues impacting facilitation of billing and reimbursement process. Ensures accuracy of APCs and appropriate extraction of core data into HIM abstracting system to data warehouse repository.

Responsibilities

The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in billing, research, internal and external reporting, and regulatory compliance. Follows-up on CCI edits, claim rejections, and other issues impacting facilitation of billing and reimbursement process. Ensures accuracy of APCs and appropriate extraction of core data into HIM abstracting system to data warehouse repository.

Minimum Qualifications

• High School diploma or equivalent.
• Two years acute care outpatient coding with outpatient diagnostic and ED coding.
• CIRCC preferred or CPC, CPC-H, CCA, RHIA, RHIT, CCS, CCS-P certified.

Physical Requirements

(MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks

Environmental Factors

Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request.

Please note that one week's advance notice is preferred.