Outpatient Coding Specialist II (Remote)

University Hospitals; Shaker Heights (OH); Remote; USD 50,000 - 70,000; Full time

Job summary

The University Hospitals in Shaker Heights is seeking a Coding Specialist responsible for accurately coding moderately complex encounters according to established guidelines. You will review medical records, assign diagnostic and procedural codes, and ensure compliance with regulations.

This role requires knowledge of CMS guidelines, strong attention to detail, and the ability to maintain coding credentials. Individuals will participate in the improvement program and adhere to ethical coding standards.

Qualifications

• Experience with complex medical records coding.
• Knowledge of coding guidelines and federal regulations.
• Ability to maintain coding knowledge and credentials.

Responsibilities

• Review and code medical records accurately and timely.
• Ensure optimal assignment of CPT, ASC, APC as applicable.
• Participate in educational activities as required.

Skills

CPT coding

Understanding of CMS regulations

Attention to detail

Knowledge of medical records

Ability to resolve coding edits

Job description

A Brief Overview

Responsible for accurately and timely coding of moderately complex encounters following established coding, CMS regulations and hospital guidelines. Accurately codes diagnostic and procedural information following official coding guidelines, facility specific guidelines and federal regulations.

What You Will Do

• Reviews moderately complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines.
• Responsible for accurately coding hospital same day surgery, observations, ancillary, ED encounters and/or professional services.
• Ensures optimal CPT, ASC, APC, APG assignment as applicable.
• Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD, and MUE.
• Supports OP Clinical Documentation Improvement program.
• Maintains productivity and quality rate according to established standards.
• Works within UH Billing time frames.
• Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars. Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department. Maintains up to date credentials.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).

Additional Responsibilities

• Participates in educational and informational activities as required.
• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.