Outpatient Senior Coder - ED - Remote

Conifer Health Solutions; Frisco (TX); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking an Outpatient Senior Coder to join their dynamic team. This remote role involves coding outpatient surgeries and procedures, ensuring compliance with coding standards, and maintaining high accuracy in documentation. The ideal candidate will have experience in medical coding, strong attention to detail, and the ability to effectively communicate with healthcare professionals. Join a forward-thinking company that values professional development and offers opportunities for growth in a supportive environment.

Qualifications

• One year of medical record coding experience in an acute care setting preferred.
• Completion of basic coding course or equivalent education/experience required.

Responsibilities

• Assign diagnostic and procedural codes to patient charts of moderate to high complexity.
• Maintain an average coding quality standard of >= 95% accuracy.

Skills

ICD-10-CM

CPT coding

HCPCS

outpatient diagnosis coding guidelines

effective communication

attention to detail

Education

High school diploma or equivalent

Completion of basic coding course

Tools

office software

Job description

Join to apply for the Outpatient Senior Coder - ED - Remote role at Conifer Health Solutions

Job Summary:

Responsible for assigning diagnostic and procedural codes (outpatient surgery, observation, infusion services, and interventional procedure records) to patient charts of moderate to high complexity using ICD-10-CM, CPT, and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.

Essential Duties and Responsibilities include:

1. Coding: Reviews medical records for accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
2. Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
3. Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by each facility.
4. Goal: Maintain an average coding quality standard of >= 95% accuracy per monitoring period. Less than 95% accuracy indicates improvement is needed.
5. Coding Labor Productivity: Meets and/or exceeds Conifer’s coding productivity guidelines.
6. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS, and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars annually and reviews AHA Coding Clinic quarterly.
7. Communicates and resolves coding issues (e.g., lacking documentation, physician queries) for appropriate follow-up and resolution.

Knowledge, Skills, Abilities:

• Proficient in outpatient diagnosis coding guidelines and CPT/HCPCS code assignment.
• Ability to assign PCS codes (post-10/1/2014).
• Working knowledge of OPPS.
• Ability to compare documentation, code assignment, and charges for accuracy and completeness.
• Effective communication and relationship-building skills.
• Attention to detail and proficiency with office software and support systems.

Education/Experience:

• Preferred: One year of medical record coding experience in an acute care setting.
• High school diploma or equivalent required.
• Completion of basic coding course or equivalent education/experience required.

Certificates, Licenses, Registrations:

• AHIMA or AAPC approved credential required.

Physical Demands and Work Environment details are included, emphasizing the need for sitting, computer use, travel, and hospital environment adaptability.