Outpatient Coder I - Remote
Job Description
JOB SUMMARY
Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
- Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
- Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
- Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility.
- Goal: Average coding quality standard of =>95% accuracy per monitoring period.
- Does not meet =
- Meets => 95% accuracy
- Exceeds =>95.01% accuracy
- Goal: Average coding quality standard of =>95% accuracy per monitoring period.
- Coding Labor Productivity: Meets and/or exceeds Conifer's coding productivity guidelines.
- Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on an annual basis (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls
- Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution
- Proficient in outpatient diagnosis coding guidelines
- Ability to establish and maintain effective working relationships as required by the duties of the position
- Ability to concentrate and accomplish tasks with explicit accuracy
- Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
- Functional knowledge of facility EMR, encoder and other support software
- Zero to six months of experience medical record coding in acute care setting preferred
- Required: High school graduate or equivalent
- Preferred: Completion of basic coding course
- Required: AHIMA or AAPC approved credential
- Must be able to work in sitting position, use computer and answer telephone
- Ability to travel
- Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
- Office Work Environment
- Hospital Work Environment
- Must be able to travel nationally as needed, not to exceed 10%
- Pay: $18.60 - $28.00 per hour. Compensation depends on location, qualifications, and experience.
- Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
- Conifer observed holidays receive time and a half.
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
- 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
- For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.