Remote OP Coder

AMN Healthcare; Franklin (TN); Remote; USD 60,000 - 90,000; Full time

Job summary

AMN Healthcare is seeking a Remote OP Coder to accurately code outpatient procedures and diagnoses using ICD-10-CM and CPT, adhering to CMS and facility guidelines. The role requires maintaining high accuracy and productivity while ensuring documentation supports coding entries.

You will work remotely with standard equipment and must stay current with coding guidelines, regulatory requirements, and professional credentials.

Qualifications

• Requires AHIMA or AAPC credential(s).
• Minimum 3 years of OP/SDS medical coding experience.
• Proficient with ICD-10-CM coding.
• Knowledge of CPT coding principles and governmental regulations.

Responsibilities

• Maintains working knowledge of ICD-10-CM, CPT coding principles and third-party requirements.
• Seeks proper documentation to support services and diagnoses when not documented adequately.
• Maintains 95% overall accuracy rate and meets productivity standards.
• Reviews the queue daily and communicates corrections to facilities as needed.
• Codes or places charts in the queue and keeps current credentials.

Skills

ICD-10-CM

CPT coding

Coding guidelines

Third-party requirements

Education

AHIMA CCS/CCS-P/RHIT

AAPC CPC/COC/CPC-H

High school diploma or equivalent

Job description

Remote OP Coder

Under indirect supervision, is responsible for accurate OP (SDS, ER, Ancillary and OBSV) coding, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS) as well as other specialty systems as required by diagnostic category and facility Reimbursement guidelines. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM, Centers for Medicare and Medicaid Services (CMS), and Individual State Health Planning and Development and organizational/institutional coding guidelines.

Responsibilities and duties

Maintains a working knowledge of ICD-10-CM, CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.

When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.

Must maintain 95% overall accuracy rate.

Must maintain average productivity standards.

Works the review queue on a daily basis to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.

The coder is responsible for coding or pending every chart placed in their queue.

Coders must maintain their current professional credentials.

Other requirements include

Remote Workstation, with Dual Monitors.

Standard Windows PC.

Internet Access with DSL or Cable.

VPN compatibility.

Printer/Fax.

Education and skills

High school diploma or equivalent required.

Requires one of the following coding credentials: AHIMA (CCS, CCS-P, or RHIT); AAPC (CPC, COC, CPC-H).

Must be proficient with Facilities Coding Standards.

Minimum of 3 years' experience in OP/SDS medical coding.

Working knowledge of ICD-10-CM.