Outpatient Complex Coder/Full Time/Remote

Davita Inc.; Detroit (MI); Remote; USD 45,000 - 65,000; Full time

Job summary

A leading healthcare organization seeks a certified medical coder to analyze and code patient records for billing and compliance purposes. The successful candidate will integrate coding expertise with robust knowledge of anatomy and medical terminology to support patient care and reimbursement processes.

Qualifications

• Minimum of two years coding experience required.
• Thorough knowledge of anatomy, medical terminology, and coding systems essential.
• Certification as RHIT, CPC, or CCS required.

Responsibilities

• Reviews and codes diagnostic and procedural information from patient records.
• Ensures compliance with coding guidelines and reimbursement policies.
• Compiles patient database for medical research and care evaluation.

Skills

Knowledge of anatomy

Knowledge of medical terminology

Knowledge of pharmacology

Knowledge of coding systems

Education

High School Diploma or G.E.D.

Specialty coding certification

Two years college or coursework in Healthcare Administration

Job description

Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

EDUCATION/EXPERIENCE REQUIRED:

• High School Diploma or G.E.D. equivalent required.


• Additional specialty coding certification required or five years coding experience.


• One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.


• Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems


• Minimum of two (2) years coding experience required


• Specialty Coding preferred

CERTIFICATIONS/LICENSURES REQUIRED:

• Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required.

Additional Information

• Organization: Corporate Services


• Department: Inpatient Prof Coding


• Shift: Day Job


• Union Code: Not Applicable