Job Description
POSITION: CERTIFIED OUTPATIENT MEDICAL CODER (possible REMOTE- Work From Home)
HOME OFFICE LOCATION: Irving, TX (zip 75063)
POSITION SUMMARY:
Responsible for translating healthcare providers’ diagnostic and procedural phrases into coded form. Reviews and analyzes health records daily to ensure correct coding.
POSITION RESPONSIBILITIES:
Analyzes provider documentation to assure the appropriate ICD-10 Diagnosis codes, CPT/HCPCs Codes, and ICD-10 PCS Codes are assigned accurately based on medical documentation.
Evaluates the calculated DRG for accuracy.
Assists billing staff establish the medical necessity of charges, claims, and clearinghouse edits.
Provides feedback to the clinical staff on coding issues and reviewing denials.
Provides training to each provider regarding errors identified and corrected.
Obtains necessary clarification of information on the notes and charts by physician query.
Provides weekly trending reports by provider to COO or designated administrator; regarding coding errors, coding changes, missing information from charts, etc.
Ensures that all medical records have been signed by the appropriate parties
Evaluates medical records for documentation consistency and adequacy.
Reviews appropriate medical codes to all diagnoses or services.
Enters and organizes the codes into management software.
Reviews records for compliance with established third party reimbursement agencies and special screening criteria.
Assists in coding denials and providing other billing resolutions as needed.
Completes coding projects as needed.
Attends various meetings and professional development programs as required.
Billing and assisting with claims submission as needed.
Other duties as assigned.
OTHER RESPONSIBILITIES:
Completes required orientation as directed by facility
Follows facility and OSHA safety rules and procedures while on assignment
Follows facility Unusual Occurrence Protocol
Respects cultural and religious practices of patients
Upholds HIPAA regulations
Punctual and dependent for assigned/confirmed shifts
POSITION REEQUIREMENTS:
Knowledge of the ICD-10 CM/PCS, and CPT-/HCPCS universal coding systems
Knowledge of DRG systems
Knowledge of coding and clinic operating policies
Must be efficient, organized, and have the ability to set priorities and meet deadlines.
Knowledge of insurance carrier coding requirements to ensure proper coding based on License and specialty
Strong computer skills in MS Office/Windows (Word and Excel required).
Knowledge of Medical terminology
Strong communication and organizational skills (written and verbal), ability to work across functions with customers (both internal & external)
Knowledge of third party billing procedures across a variety of payer systems
Ability to prioritize workload proactively and expeditiously.
Detail-oriented and highly organized.
Knowledge of billing and financial concepts
Works well in an environment with firm deadlines; results oriented
Perform multiple tasks effectively
Able to work both independently and as part of a team
Strong analytical skills required
Capable of making timely, independent decisions
Ability to identify and maintain confidential material.
High School Diploma or GED required.
RHIT, RHIA, CCS, or CIC certification Required.
Strong Facility coding knowledge and experience.
Job Tags
Work from home, Home office, Shift work,