Outpatient Medical Coder - Ambulatory & Observation Status

Mohawk Valley Health System; United States; On-site; USD 50,000 - 70,000; Full time

Job summary

A healthcare organization in the United States is seeking an Outpatient Medical Coder to focus on outpatient ambulatory and observation coding. This position requires strong coding knowledge, familiarity with EMR and coding software, and involves various responsibilities including billing accuracy, auditing charges, and providing support to clinical staff. Candidates should have an AS in Health Information Management or equivalent experience. Certification is preferred. Full-time employment is offered.

Qualifications

• Experience in Infusion and Injections is required.
• Certification such as RHIA, RHIT, CCS, CCA, CPC, CIC is preferred.

Responsibilities

• Assign diagnosis and procedure codes for accurate billing.
• Audit charges and establish proper coding.
• Initiate queries with providers for clarification.

Skills

Knowledge of EMR

Good Oral and Written Communication

Experience in Ambulatory and Observation status coding

Knowledge/understanding of modifiers, medical necessity & CCI edits

Education

AS in Health Information Management or equivalent experience

BS in Health Information Management

Tools

Coding Software

Microsoft Office

Epic

3M software

Job description

Outpatient Medical Coder - Ambulatory & Observation Status

Under the general direction of the Director CDI/Coding or designee, the Outpatient Medical Coder will improve documentation, data quality and revenue cycle operations. This role will focus on outpatient ambulatory and observation status as well as infusions and injection coding.

Core Job Responsibilities

• Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer
• Audit charges and establish proper coding in collaboration with providers
• Initiate and follow up on queries with providers
• Assist departments with diagnostic and procedural coding
• Respond to Insurance, compliance and RAC denials
• Review and assist in the maintenance of coding related policies and procedures
• Perform other duties as required.

Education/Experience Requirements

Required:

• AS in Health Information Management, a related degree or equivalent experience
• Knowledge of EMR, Coding Software, and Microsoft Office
• Knowledge/understanding of modifiers, medical necessity & CCI edits
• Good Oral and Written Communication
• Experience in Ambulatory and Observation status coding
• Experience in Infusion and Injections

Preferred:

• BS in Health Information Management
• Knowledge of Epic and 3M software

Licensure/Certification Requirements

Preferred:

• RHIA, RHIT, CCS, CCA, CPC, CIC Certification

Seniority level

• Associate

Employment type

• Full-time

Job function

• Other

Industries

• Hospitals and Health Care