Outpatient Coder (Goshen)

Insight Global; Brentwood (TN); Vor Ort; USD 60.000 - 85.000; Vollzeit

Zusammenfassung

Insight Global is seeking an outpatient coder in Tennessee to code and abstract diagnoses from medical records for optimal reimbursement and quality reporting. The role requires 3+ years of outpatient coding experience in acute care settings, with AHIMA or AAPC credentials, and familiarity with NCCI/CCI edits.

Strong accuracy and productivity are essential, and confidentiality is mandatory. Responsibilities include assigning ICD-10-CM codes, abstracting data for billing, communicating with

Qualifikationen

• 3+ years of recent outpatient coding experience.
• Acute care facility outpatient coding including wound care, cardiac rehab, radiology edits.
• Maintain productivity while ensuring accuracy.
• Experience with NCCI/CCI code edits.
• Active AHIMA/AAPC credentials.

Aufgaben

• Assign ICD-10-CM codes for medical records.
• Abstract key data elements for billing and reporting.
• Review records for documentation supporting facility charges.
• Clarify documentation with providers for accurate diagnoses and E/M levels.
• Review and resolve outpatient claim edits for compliant billing.
• Assist with simple outpatient visit coding errors as needed.
• Maintain patient confidentiality and professional communication.
• Attend regular training to improve patient and customer communications.

Kenntnisse

Outpatient coding experience

NCCI/CCI edits

Quality accuracy 95%

Productivity under accuracy balance

Ausbildung

AHIMA/AAPC Credentials

Jobbeschreibung

Outpatient Coder

Required Skills & Experience - 3+ years of recent outpatient coding experience.

Acute care facility outpatient coding, including: wound care, cardiac rehabilitation, and making radiology edits.

Ability to maintain productivity while maintaining accuracy.

Experience with NCCI/CCI code edits.

Active AHIMA/AAPC Credentials

Ability to meet and maintain a 95% quality accuracy rate and productivity standards.

Job Description

We are seeking an Outpatient Coder. This role, under general direction, is responsible for coding and abstracting of diagnoses from medical records for optimal and timely reimbursement and quality reporting.

Duties and Responsibilities:

• Assigns ICD-10-CM codes for medical record accounts, including but not limited to diagnoses.
• Abstracts key data elements required for billing, regulatory agencies, and other databases.
• Reviews records for clinical pertinence and documentation to support accurate facility-based charges for services performed during the encounter.
• Communicates with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility evaluation/management (E/M) levels.
• Reviews and resolves claim edits related to outpatient encounters to ensure compliant billing, including but not limited to medical necessity and NCCI/CCI edits.
• Assists with resolution of simple visit coding errors related to other outpatient visits as needed.
• Demonstrates courtesy and professionalism through interaction, appearance, attitude, and written and oral communications with visitors, co-workers, physicians, and other hospital personnel as to represent the Medical Records Services as a high-quality service area of the Hospitals.
• Maintains patient confidentiality as required by Hospitals/departmental policy and industry/legal standards.
• Acknowledges and supports Hospitals defined goals and approach to patient care; attends regular training sessions to improve patient and customer communications.