Senior Coder - Outpatient

Highmark Health; Northern (KY); Hybrid; USD 67,996,000 - 106,421,000; Full time

Job summary

Allegheny Health Network is seeking a Senior Coder for outpatient coding, with remote work options for Alabama. You will review medical records, assign ICD-10-CM and CPT codes, and abstract data into our systems to support timely billing.

Applicants should have 5 years of hospital coding, 1 year across all specialties, and certifications such as CCS, RHIT, RHIA, CCS-P, CPC or COC are preferred. HIPAA compliance and ongoing education are required.

Qualifications

• 5 years hospital/physician coding experience.
• 1 year coding across all specialties.
• Extensive Trauma/Teaching/Observation guidelines knowledge.
• Completed coursework in anatomy, physiology and medical terminology.
• Certifications in CCS, RHIT, RHIA, CCS-P, CPC or COC preferred.

Responsibilities

• Review and assign ICD-10-CM/CPT codes for diagnoses and procedures.
• Abstract data and enter into the designated system.
• Support cash flow by managing unbilled coding reports.
• Stay current with ICD-10-CM/CPT updates and guidelines.
• Mentor teammates and provide subject-matter expertise.

Skills

ICD-10-CM/CPT coding

Medical terminology

Detail-oriented

Mentoring others

Education

High School/GED

Associate's Degree (preferred)

CCS

RHIT

RHIA

CCS-P

CPC

COC

Tools

Coding software

Job description

## Senior Coder - OutpatientApply: Remote: AL, Working at Home - Alabama: Full time: Posted Today: J287245## **Company :**Allegheny Health Network## **Job Description :****GENERAL OVERVIEW:**This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.**ESSENTIAL RESPONSIBILITIES*** Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)* Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)* Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)* Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)* Acts as a mentor and subject matter expert to others. (5%)* Performs other duties as assigned or required. (5%)**QUALIFICATIONS:**Minimum* High School/GED* 5 years of Hospital and/or Physician Coding* 1 year of Coding - all specialties and service lines* Extensive knowledge in Trauma/Teaching/Observation guidelines* Successful completion of coding courses in anatomy, physiology and medical terminology* Any of the following: + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC)Preferred* Associate's Degree***Disclaimer:*** *The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.* ***Compliance Requirement****: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.**As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.***Pay Range Minimum:**$23.73**Pay Range Maximum:**$37.14*Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.*