Wound Care Coder - Remote (1193)

Acuitymri; Charlotte (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare coding company is seeking remote outpatient coders for wound care. The role requires accurately coding accounts using ICD-10-CM and CPT codes. Ideal candidates should have a CCS or RHIA certification and at least 3 years of experience in outpatient specialty coding. Responsibilities include ensuring coding compliance, managing productivity metrics, and maintaining patient confidentiality. Join a team dedicated to precision and quality in healthcare coding while working from home.

Qualifications

• Typically requires 3 years of experience in coding.
• Demonstrates competency in outpatient specialty cases.
• Strong knowledge of coding guidelines.

Responsibilities

• Responsible for final coding of outpatient account types.
• Assigns diagnosis codes using ICD-10-CM accurately.
• Maintains a productivity rate of 100% or more.

Skills

Proficient in Microsoft Office

Advanced knowledge of anatomy and physiology

Expert knowledge in ICD-10-CM and CPT coding

Strong communication skills

Analytical aptitude

Education

Associate’s Degree in Health Information Management or related field

Coding Specialist (CCS) certification

Health Information Administrator (RHIA) registration

Health Information Technician (RHIT) registration

Tools

3M360 encoding system

Epic Chart Production

Job description

REMOTE OUTPATIENT - Wound Care CODERS NEEDED!!! NATIONWIDE WORK FROM HOME

Call David at 513-206-9881 or send resumes to [e-mail]

Full Job Description

Responsible for final coding of outpatient account types for GI, Pain Clinic, Radiation Oncology, Wounds, Outpatient Specialty single and series accounts, and infusion coding.

This position is responsible for accurately assigning and sequencing diagnosis codes using ICD-10-CM in accordance with advice from Coding Clinic and ICD-10-CM Official Coding Guidelines.

This position is accountable for utilizing 3M coding products including encoder and groupers for Medicare reimbursement and other third‑party payors, and for internal Advocate business and quality purposes.

This position is accountable for accurate abstracting of selected clinical and non‑clinical information to create a comprehensive database of information for billing purposes, internal data management, and external reporting of data.

Codes diagnoses utilizing a computerized encoding software system and completes abstraction for clinical data and non‑clinical data elements for community hospital sites. This position is responsible for reviewing all documentation in the patient record for accurate and complete code assignment in accordance with the current International Classification of Disease, Clinical Modification (ICD‑10‑CM).

Maintains a productivity rate of 100% or more on a monthly basis and 95% quality.

Responsible for assigning ICD‑10‑CM diagnosis codes and CPT codes for specialty areas: GI Lab, Pain Clinic, Radiation Oncology, Wound Care, high‑cost drugs, and assigning infusion charges for observation and day surgery accounts.

Responsible for assigning diagnosis codes and CPT codes for Emergency Room/Urgent Care accounts.

Responsible for assigning diagnosis codes and CPT codes for Office Visits, including but not limited to epilepsy, neuro, psycho‑cancer, women’s wellness, transplant, and behavioral health.

Responsible for reviewing all documentation in the patient record to identify all relevant diagnoses and procedures for coding accuracy.

Codes diagnoses and procedures utilizing the 3M360 encoding system and has knowledge in EPIC Chart Production.

Selects and assigns codes for the appropriate first listed and all additional diagnoses according to Outpatient Coding guidelines with official ICD‑10‑CM coding and reporting guidelines.

Assists in ensuring coding compliance with federal, state, and other regulatory agencies, research cases, government payors and other selected third‑party payors.

Locates and utilizes the necessary resources to solve coding questions as they arise during the performance of daily duties.

Attends educational seminars and in‑services to satisfy continuing education requirements to maintain certification(s).

Reviews periodicals and literature to remain abreast of changes that will affect coding and reimbursement methodologies.

Achieves productivity expectations to support discharged not final billed (DNFB). Attends monthly coding meetings as required. Promotes patient safety by reporting of issues through established channels and participating in safety initiatives.

Safeguards confidential and privileged patient information.

Licenses & Certifications

• Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA)
• Health Information Administrator (RHIA) registration issued by AHIMA
• Health Information Technician (RHIT) registration issued by AHIMA

Degrees

• Associate’s Degree in Health Information Management or related field.

Required Functional Experience

Typically requires 3 years of experience in coding and demonstrates competency in outpatient specialty cases in an integrated acute care teaching setting.

Knowledge, Skills & Abilities

Proficient in Microsoft Office, Word, Excel, and PowerPoint. Advanced knowledge and understanding of anatomy, physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology) and ability to apply these sciences to accurately assign codes to cases. Expert knowledge in coding of wound care, high cost drugs, pain clinic, and GI. Expert knowledge and experience in ICD‑10‑CM, CPT, and 3M Encoder. Demonstrates knowledge of National Council on Compensation Insurance, Inc (NCCI) edits, and local and national coverage decisions. Expert knowledge and experience in ICD‑10‑CM and CPT coding systems, G‑codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Payment Classifications (APC). Advanced knowledge of pharmacology indications for drug usage and related adverse reactions. Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems. Excellent communication and reading comprehension skills. Demonstrated analytical aptitude, with a high attention to detail and accuracy. Experienced with remote workforce operations required. Strong sense of ethics.

What We’d Like to See

• Previous hospital coding experience required in coding GI, Pain Management, Wound Care, Radiation Oncology, Series cases, and Infusion Therapy.

Call David at 513-206-9881 or send resumes to [e-mail]