OP Coder

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Type: Contract
Pay: Apply For Details
Location: Remote

Coders must be able to code OPS, OBS, ED and ANC and preferably some Wound Care knowledge coding is helpful. Knowledge of back end billing edits is helpful as well. 



POSITION SUMMARY:

Assign diagnosis and procedure codes using the appropriate coding classification system on all episodes of care in the emergency department, same-day surgery, outpatient clinic, observation, inpatient OB/newborn hospital, specialty clinic encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure to the accuracy of the information and resolve identified issues. Ensure compliance with official guidelines (ICD-10-CM, AHA Coding Clinic, AMA CPT Assistant and Guidelines), AHIMA Standards of Ethical Coding, and LifePoint Health Support Center (HSC) policies and procedures.

ESSENTIAL FUNCTIONS:

•                     Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM, CPT, and HCPCS according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing.

•                     Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.

•                     Must be familiar with Ambulatory Payment Categories (APCs, the Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) guidelines, Local and National Coverage Decisions, and other medical necessity/compliance guidelines for billing and coding.

•                     May verify, edit and/or enter charges based on documentation or payer/billing.

•                     Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.

•                     Follow coding workflows for service type to include addressing compliance reviews.

•                     Submit physician queries when clarification of documentation is needed.

•                     Facilitate a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive.

•                     May assist in training and reviewing the work of other coders for accuracy and efficiency.

•                     Make recommendations to the supervisor, and implement and monitor results as appropriate in support of the overall goals of the department.

•                     Seek advice and guidance as needed to ensure proper understanding.

•                     Assist others with responsibilities and adjusts work schedule to meet department needs.

•                     Use independent discretion/decision-making while effectively working remotely.

•                     Attend required educational webinars, conference calls, and other coding seminars, and participate in all formal and informal coding discussions.

•                     Maintain coding education hours and renew annual coding credentials as applicable.

•                     Complete all assigned compliance courses within the designated period.

•                     Conform to AHIMA’s Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy, and ensure patient/employee privacy and dignity by maintaining confidentiality with no infractions.

•                     Other related job tasks or responsibilities as assigned.

Additional Information: 

The position serves internal co-workers and external customers, clients, and contractors.

Access to and/or work with sensitive and/or confidential information.  

KNOWLEDGE, SKILLS & ABILITIES: The requirements below represent the required knowledge, skills, and/or abilities.

Education: Associate degree in health-related field preferred.  

Experience: One year of outpatient coding experience in an acute care hospital is preferred.

Certifications: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT) preferred.

Skills and Abilities:

•                     Candidate must possess excellent organizational skills and communication skills.

•                     Candidate must be adept in utilizing computer programs and the Internet.

•                     Candidate must be self-motivated and possess the ability to work independently.

PHYSICAL AND MENTAL DEMANDS:

The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully.  Reasonable accommodations may be made to enable individuals with disabilities to perform essential job responsibilities. 

While performing the duties of this job, the employee is occasionally required to sit for extended periods; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; talk or hear; taste or smell. Repetitive motion of the upper body is required for extended use of a computer. Specific vision abilities require close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. 

WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:

Work environment characteristics described here represent those that an employee may encounter while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform essential job responsibilities.

The position is remote-based. Travel – none expected. Normal business hours are 8 a.m. – 5 p.m., Monday-Friday. However, schedules may vary by business necessity.  

Job Id: a1sVb000004Q1W1IAK

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