Outpatient Facility Coder

Savista, LLC; Nevada (IA); Hybrid; USD 39,000 - 41,000; Full time

Job summary

Savista is seeking an Outpatient Facility Coder to review documentation, assign ICD-10-CM codes, and ensure accurate surgical CPT coding for hospital-based claims. The role also supports APC calculations, data abstraction, and edits to coding-related claims scrubber logic in collaboration with client staff.

Qualified candidates hold an active AHIMA or AAPC credential, have at least one year of relevant coding experience, and can demonstrate a passing EPIC/Optum pre-employment test.

Qualifications

• Active AHIMA or AAPC credential is required.
• At least 1 year of relevant coding experience within the last 6 months.
• Passing score of 80% on EPIC/Optum pre-employment tests.

Responsibilities

• Assign ICD-10-CM codes (professional or technical EM level) and surgical CPT codes at target production rates and quality.
• Validate APC assignments as applicable.
• Abstract clinical data appropriately.
• Mitigate coding-related claims scrubber edits.
• Tolerate short-term assignments for up to two clients.
• Participate in client and Savista meetings and training sessions.
• Maintain current working knowledge of coding conventions for client assignments.
• Perform other related duties as required.

Education

AHIMA credential

AAPC credential

Tools

EPIC

Optum

Job description

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

California Job Candidate Notice

The Savista experience is the combination of everything that’s unique about our culture, our core values, our commitment to success but most importantly it’s our people. Our colleagues are problem-solvers, flexible and agile trusted partners who believe in a culture based on service. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us a Certified Great Place to Work 4 years in a row!

Job Purpose

The Outpatient Facility Coder reviews documentation to code diagnoses and surgical CPT procedures for hospital-based claims and data needs. For physician-based claims and data needs, the Coding Specialist II reviews documentation to code diagnoses, EM level, and surgical CPT procedures. Additionally, this role also validates APC calculations, abstracts clinical data, mitigates diagnosis, EM level, and/or surgical CPT coding-related claims scrubber edits, and may interact with client staff and providers.

Essential Duties & Responsibilities

• HB - SDS/OBS/ED Coder Assigns ICD-10-CM codes, either professional or technical EM level, and surgical CPT codes at commercially reasonable production rates and at a consistent 95% or greater quality level.
• Validates APC assignments, as applicable.
• Abstracts clinical data appropriately.
• Mitigates diagnosis, EM level, and/or surgical CPT coding-related claims scrubber edits.
• Tolerates short-term assignments for up to two different clients.
• Participates in client and Savista meetings and training sessions as instructed by management.
• Maintains an ongoing current working knowledge of the coding convention in play at client assignments.
• Performs other related duties as required.

Minimum Qualifications

• An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential.
• One year of relevant, productive coding experience for the specific patient type being hired and within the last six months.
• Passing score of 80% on specific pre-employment tests assigned EPIC/Optum experience.

Preferred Note

Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $28.00 - $30.00 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.