Outpatient Coder - Coding - Physician

CHRISTUS Spohn Health System; Alamogordo (NM); Remote; USD 60,000 - 80,000; Full time

Job summary

CHRISTUS Spohn Health System seeks an Outpatient Coder to ensure accurate ICD-10-CM and CPT coding across outpatient encounters in a remote setting.

The role requires reviewing clinical documentation, abstracting data into CHRISTUS Health EMR systems, and maintaining a coding accuracy rate of 95% or higher. Collaboration with Admitting, Charging, and HIM teams is essential to minimize denials and support compliant billing.

Qualifications

• High school diploma or equivalent required.
• AHIMA accredited coding program preferred.
• Outpatient coding experience in acute care appreciated.

Responsibilities

• Assign codes for diagnoses and procedures according to ICD-10-CM and CPT guidelines.
• Abstract data into CHRISTUS Health EMR systems from source docs.
• Collaborate with Admitting, Charging, Patient Financial Services, HIM and others to resolve issues and reduce denials.
• Query providers for missing/unclear documentation with HIM/CDI teams.
• Maintain coding accuracy rate of 95% or higher and meet productivity standards.
• Participate in internal and external audit discussions.

Skills

Strong written & verbal communication

Remote work in independent setting

Education

High school diploma

Health Informatics/Health Information Management or AHIMA coding certificate

Job description

Outpatient Coder

Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters.

Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and physician documentation clarifications, to ensure accurate billing and reduce denials. Coder will also assist in other areas of the department as requested by leadership.

Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM/Coding Director.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Assign codes for diagnoses, treatments, and procedures according to the ICD-10-CM and CPT Official Guidelines for Coding and Reporting through review of coding critical documentation.
• Extracts and abstracts required information from source documentation, to be entered into the appropriate CHRISTUS Health electronic medical record system.
• Works from assigned coding queue, completing and re-assigning accounts correctly.
• Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner.
• Meets or exceeds an accuracy rate of 95%.
• Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
• Assists in implementing solutions to reduce backend errors.
• Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists.
• Participates in both internal and external audit discussions.
• Has strong written and verbal communication skills.
• Able to work independently in a remote setting, with little supervision.
• All other work duties as assigned by the Manager.

Job Requirements:

Education/Skills

• High school Diploma or equivalent years of experience required.
• Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.

Experience

• Two (2) years of Outpatient coding in an acute care setting preferred.

Licenses, Registrations, or Certifications

• None required.

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time