Outpatient Medical Coder (Remote)

Caban Resources; United States; Remote; USD 55,000 - 85,000; Full time

Job summary

Caban Resources seeks a certified medical coder to accurately assign E/M, ICD-10-CM/PCS, CPT, and HCPCS codes from medical records for professional and facility claims in ambulatory ER settings.

You will review documentation for inconsistencies, educate providers, respond to coding queries, and support quality and compliance initiatives while meeting productivity and accuracy standards.

Qualifications

• Certification in one of the recognized coding credentials (CCS, CPC, RHIT, RHIA, CCS-P) required.
• CEMC or NAMAS/CEMA certifications are a plus.

Responsibilities

• Assign E/M, ICD-10-CM diagnoses, ICD-10-PCS, CPT, HCPCS for professional and facility components of ambulatory ER encounters.
• Review encounter/documentation to identify inconsistencies that affect coding accuracy and care quality.
• Identify legibility/abbreviation issues and notify the provider.
• Educate and provide feedback to providers to resolve documentation issues for coding compliance.
• Assign codes based on provider responses to coding queries.
• Serve as reference for medical staff with coding questions and collaborate with coding auditors, CDI specialists, and trainers.
• Support coding compliance by researching guidance and seeking clarification through proper channels.
• Under coding supervisor direction, remotely access patient records to assign codes.
• Strive to achieve coding productivity and accuracy standards.

Skills

Attention to detail

Analytical thinking

Communication

Education

CCS

CPC

RHIT

RHIA

CCS-P

CEMC/NAMAS CEMA

Job description

Minimum Qualifications:

• Certification: ONE of the following recognized professional coding certifications: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist - Physician (CCS-P)
• Certified Evaluation and Management Coder (CEMC), or National Alliance of Medical Auditing Specialists' (NAMAS) Certified Evaluation and Management Auditor (CEMA) certifications are a plus.

Core Duties:

• Accurately assigns Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, ICD-10 Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation for the professional and facility components of ambulatory emergency room. May also code ambulatory or outpatient encounters as directed.
• Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, and impacts to quality patient care.
• Identifies any problems with legibility, abbreviations, etc., and brings to the provider's attention.
• Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.
• Assigns accurate codes to encounters based upon provider responses to coding queries.
• Acts as a source of reference to medical staff having questions, issues, or concerns related to coding. Responds to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding. Collaborates with and supports medical coding auditors, trainers, and CDI specialists in providing education and feedback to providers and staff.
• Supports coding compliance by ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels.
• Upon coding supervisors' direction, utilizes computer systems to remotely access patient records and assign codes for patient encounters.
• Achieve and maintain coding productivity and accuracy standards for the position.