RIS - OUTPATIENT CODER II

Oneida Health; City of Oneida (NY); On-site; USD 70,000 - 90,000; Full time

Job summary

Oneida Health is seeking an experienced Revenue Integrity Outpatient Coder Level II to join our team. The role focuses on accurate outpatient coding to optimize revenue capture and ensure regulatory compliance.

You will review medical records, assign CPT/HCPCS/ICD-10 codes, collaborate with clinicians, participate in audits, and provide education on coding best practices. AHIMA CCS or CPC certification is preferred and Meditech EHR experience is desirable.

Qualifications

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

Responsibilities

• Review outpatient services 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.
• Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies.
• Work with the Revenue Integrity team to address coding-related issues.
• Provide feedback and education to staff on coding and documentation best practices.
• Participate in coding audits and quality improvement initiatives.
• Keep abreast of changes in coding systems and reimbursement methodologies.

Skills

Analytical skills

Problem solving

Communication

Teamwork

Attention to detail

Education

AHIMA CCS or CPC certification

Tools

Meditech EHR

Job description

Job Summary

Oneida Health is actively searching for a skilled Revenue Integrity Outpatient Coder Level II to join our dynamic team. The successful candidate will play a crucial role in ensuring accurate and compliant coding of outpatient services, optimizing revenue capture, and maintaining regulatory compliance.

Job Title

Outpatient Coder Level II

Key Responsibilities

• Review outpatient services (primarily surgical, emergency, oncology, and wound care) medical records to assign appropriate CPT, HCPCS, and ICD-10 codes.
• Ensure accuracy and completeness of coded information for billing and reimbursement purposes.
• Stay updated on coding guidelines, regulations, and compliance requirements related to outpatient services.
• Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies and obtain additional documentation if necessary.
• Work closely 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.

Experience

• Minimum of 3 years of 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.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and collaboratively within a team.
• Proficient in using Meditech or similar electronic health record (EHR) systems.

Certifications

• AHIMA Certification required, Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) preferred.

Physical Requirements

The role involves prolonged periods of sitting, extensive computer usage, and the ability to focus on detailed information for coding purposes.

Soft Skills

• Exceptional communication and interpersonal skills.
• Analytical mindset with strong problem-solving abilities.
• Collaboration and teamwork.
• Adaptability to evolving coding guidelines and regulations.
• Attention to detail and accuracy.
• Ability to provide constructive feedback and education.