Outpatient Coder

Published: 6/14/2022

Healthcare

Job Description

Position: Outpatient Coder
Location: Las Vegas, NV 89102
Job Type: Full-Time
Salary: $24.15 – $37.43 per hour

Key Responsibilities

Review and abstract medical record documentation to determine accurate and complete outpatient and professional service codes.
Assign CPT, HCPCS, and ICD-10-CM codes in accordance with current coding guidelines and reimbursement regulations.
Capture the physician's or clinician's work, skill, and medical decision-making (MDM).
Research coding questions and identify opportunities for improved coding accuracy and reimbursement.
Monitor coding trends, identify discrepancies, and escalate issues to management.
Review coding edits, denials, and documentation for completeness and accuracy.
Run and respond to coding queries when additional clarification is required.
Use 3M 360 or similar computer-assisted coding and encoder systems.
Maintain established departmental quality and productivity standards.
Prepare technical reports and assist with data collection, analysis, and retrieval.
Protect confidential patient and organizational information in accordance with applicable laws, regulations, and policies.
Maintain knowledge of revenue cycle workflows, including charges, charge master processes, code edits, auditing, denials management, and documentation improvement.
Communicate effectively with providers, staff, and other personnel regarding coding and documentation issues.

Required Qualifications

Education and Experience

High school diploma or equivalent.
Minimum of 2 years of documented outpatient professional coding experience, such as:
- Physician office
- Multidisciplinary medical practice
- Orthopedics
- Primary care
- Interventional radiology
- Emergency department
- Hospitalist services
- Ambulatory surgery center

Required Certification

Candidates must hold one or more of the following certifications or credentials:

Certified Coding Specialist (CCS)
Certified Professional Coder (CPC)
Certified Outpatient Coder (COC)
Certified Coding Specialist – Physician-based (CCS-P)
Registered Health Information Administrator (RHIA)
Registered Health Information Technician (RHIT)

Knowledge, Skills & Abilities

The successful candidate should have knowledge of:

Outpatient coding and reimbursement regulations
CPT, HCPCS, and ICD-10-CM/PCS code sets
Medicare hospital and physician outpatient coding requirements
Current healthcare technology and Electronic Health Record (EHR) practices
Medical terminology, anatomy and physiology, disease processes, and minor surgical procedures
Coding guidelines and applicable laws, rules, regulations, and departmental policies
Revenue cycle workflows, including charge capture, coding edits, auditing, denials management, and documentation improvement

Strong skills in the following are required:

Medical record review and abstraction
Coding accuracy and quality assurance
Meeting established productivity standards
Identifying and reporting inconsistencies and discrepancies
Using encoder and computer-assisted coding systems, including 3M 360 or similar systems
Running coding queries
Reviewing denials
Data collection, manipulation, and retrieval
Preparing technical reports
Maintaining confidentiality of patient and organizational information
Using computers and standard office software
Effective verbal and written communication
Attention to detail and accuracy
Maintaining concentration for extended periods while working with distractions
Establishing effective working relationships with providers, staff, and other personnel

-TS

\nCompany Description

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.