Job Details

We are seeking an Oupatient Coder (Remote).

Full-time Work From Home

Must have Surgical/OBS coding experience and documented billing edit experience

ob 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.

Job Responsibilities
Verifying accuracy of assigned CPT codes for complex and/or error prone procedures,

• 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,
• Initiating rebills for miss coded encounters, and/or
• Assisting with resolution of accounts with HIM/Coding unbilled hold reasons preventing final billing.

• Undergraduate (Associate's or Bachelor's) degree in HIM/HIT required
• Minimum 1 year hospital, acute care same day surgery outpatient coding and auditing experience required
• RHIA, RHIT or CCS preferred
• Payer focused, quality edits and customer complaints