Outpatient Revenue Integrity Coder II

Oneida-Healthcare; City of Utica (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

Oneida Health is seeking an experienced Outpatient Coder Level II to ensure accurate CPT, HCPCS, and ICD-10 coding for outpatient services in a hospital setting.

You will collaborate with physicians and the Revenue Integrity team, stay current on guidelines, and participate in audits to improve revenue capture and compliance. This role requires 3+ years of outpatient coding experience and Meditech proficiency.

Qualifications

• Minimum of 3 years outpatient coding experience in a hospital setting, preferably with Meditech EHR.
• Thorough understanding of CPT, HCPCS, and ICD-10 coding systems.
• Knowledge of outpatient billing processes and reimbursement methodologies.

Responsibilities

• Review outpatient services (surgical, emergency, oncology, wound care) to assign CPT, HCPCS, and ICD-10 codes.
• Ensure accuracy and completeness of coded information for billing and reimbursement.
• Stay updated on coding guidelines, regulations, and compliance requirements for outpatient services.
• Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies and obtain documentation.
• Work with the Revenue Integrity team to identify and address coding-related issues affecting revenue cycle performance.
• Provide feedback and education to clinical and administrative staff on coding and documentation best practices.
• Participate in coding audits and quality improvement initiatives.
• Keep abreast of changes in coding systems, reimbursement methodologies, and healthcare regulations.

Skills

Analytical thinking

Problem solving

Communication skills

Team collaboration

Detail-oriented

Education

AHIMA Certification (CCS/CPC) preferred

Tools

Meditech EHR

Job description

Oneida Health is seeking an experienced Outpatient Coder Level II to ensure accurate CPT, HCPCS, and ICD-10 coding for outpatient services in a hospital setting.

You will collaborate with physicians and the Revenue Integrity team, stay current on guidelines, and participate in audits to improve revenue capture and compliance. This role requires 3+ years of outpatient coding experience and Meditech proficiency.