Remote- Outpatient HIM Coder

Healthcare – Coding Specialist

Position Type: Administrative

Specialty Unit: Coding Specialist (Outpatient)              

Location: Work From Home

Shift: Days

Job Type: Full-Time Permanent 

Job Summary:

As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position.

Responsibilities:

• Verifying the diagnosis coding accuracy for complex and/or error prone encounters,
• Validating certain discharge dispositions,
• Reviewing charge and procedure mismatches,
• Reviewing codes with revenue integrity for NCD/LCD coverage,
• Reviewing invalid codes, code conflicts, and missing modifiers,
• Working with other team members in billing, revenue integrity, etc. to route or resolve alerts/edits,
• Combining codes for payment window encounters
• Assisting with resolution of accounts with HIM/Coding unbilled hold reasons preventing final billing.

Job Benefits:

• Competitive salary
• Direct Deposit
• 401K
• Comprehensive Health, Dental, and Life Benefits
• Employee discount program
• Paid time off

Requirements: 

• Undergraduate Degree (Associates or Bachelors) Required.
• RHIT, RHIA, or CCS required.
• At Least 1 year of hospital, acute care same day surgery outpatient coding and auditing experience required.