Outpatient Coding & Edits Specialist

HIM Central Services; United States; On-site; USD 52,000 - 68,000; Full time

Job summary

Community Health Systems (CHS) is seeking an Outpatient Coder-Edits for our Franklin, TN location. You will review and resolve outpatient coding alerts, prioritize aging accounts, and ensure compliant ICD-10-CM, CPT, and HCPCS coding to maximize timely reimbursement.

The role requires 3 years of outpatient coding experience in acute care and familiarity with LCD/NCD guidelines. You will work in a Bill Scrubber system and participate in coding education, while upholding corporate policies and

Qualifications

• H.S. Diploma or GED required.
• Associate Degree in Health Information Management, Medical Coding, or a related field preferred.
• One (1) year coding certification in Health Information Management preferred.
• 3 years of outpatient coding experience in an acute care hospital or healthcare system required.
• Experience coding emergency department visits, outpatient procedures, interventional radiology, and/or ambulatory surgery preferred.

Responsibilities

• Modify and complete moderate to high complexity outpatient coding edits/errors using ICD-10-CM, CPT and HCPCS (All outpatient types) or another designated coding classification system in accordance with coding rules and regulations.
• Work in Bill Scrubber System (SSI) as required
• Enter Edit error root cause data in Fluency Time Capture under Activity for management to solve problems upstream and downstream
• Attends coding education as scheduled
• Other special projects or other duties assigned
• Maintains job specific productivity levels set forth by Community Health Systems while maintaining a 95% coding accuracy rate.
• May perform the work of lower level classification of the Coding Edit Resolution series especially

Skills

ICD-10-CM

CPT/HCPCS coding

EHR systems

Analytical skills

Education

Associate Degree in Health Information Management

Coding certification (1 year)

CCS/CCA/RHIA (preferred)

Tools

3M

Meditech

Epic

Cerner

Job description

Community Health Systems (CHS) is seeking an Outpatient Coder-Edits for our Franklin, TN location. You will review and resolve outpatient coding alerts, prioritize aging accounts, and ensure compliant ICD-10-CM, CPT, and HCPCS coding to maximize timely reimbursement.

The role requires 3 years of outpatient coding experience in acute care and familiarity with LCD/NCD guidelines. You will work in a Bill Scrubber system and participate in coding education, while upholding corporate policies and