Outpatient Coder (Goshen)

Insight Global; United States; Vor Ort; USD 60.000 - 80.000; Vollzeit

Zusammenfassung

Insight Global is seeking an Outpatient Coder to code and abstract diagnoses from medical records for optimal reimbursement and quality reporting. The role emphasizes accuracy and timely processing in a hospital setting.

You will assign ICD-10-CM codes, abstract billing data, and ensure documentation supports facility charges while collaborating with providers to confirm codes and E/M levels. Strong credentials are required.

Qualifikationen

• 3+ years of outpatient coding experience.
• Acute care facility outpatient coding including wound care, cardiac rehabilitation, and radiology edits.
• Maintain productivity while ensuring accuracy.
• Experience with NCCI/CCI code edits.
• Active AHIMA/AAPC credentials.
• Meet and maintain 95% quality accuracy and productivity standards.

Aufgaben

• Assign ICD-10-CM codes for medical record accounts, including diagnoses.
• Abstract key data elements required for billing, regulatory agencies, and databases.
• Review records for clinical pertinence and documentation to support facility-based charges.
• Communicate with providers to clarify documentation and ensure appropriate diagnoses, procedures, and E/M levels.
• Review and resolve outpatient claim edits to ensure compliant billing, including medical necessity and NCCI/CCI edits.
• Assist with resolution of simple outpatient visit coding errors as needed.
• Demonstrate courtesy and professionalism with visitors, co-workers, physicians, and hospital staff.
• Maintain patient confidentiality per hospital policy and standards.
• Acknowledge and support hospital goals; attend training to improve patient and customer communications.

Kenntnisse

Outpatient coding experience

Acute outpatient coding

Productivity & accuracy

NCCI/CCI edits

AHIMA/AAPC credentials

Quality/ productivity targets

Jobbeschreibung

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.