Remote - Lead Clinic/Outpatient Coder

Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time

The Lead Outpatient Coder is an experienced, credentialed coding professional who serves as the point-of-contact for coders, assists manager with managerial duties, able to take lead on department projects, as well as other departments' coding questions.

Responsibilities

• Serves as a coding resources to clinic and outpatient coders. Ensures the accuracy of clinical data collection from outpatient medical records.
• Codes diseases, procedures, and diagnosis using the ICD-10-CM and CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards.
• Completes complex coding assignments for the purpose of reimbursement, research and compliance with Federal and State regulations.
• Assists manager in managerial duties such as payroll, coder assignments, annual reviews, etc.
• Provides feedback to coders and works with them to improve their quality, as necessary.
• Other duties as assigned

• H.S. Diploma - Required
• Associate's Degree - Associate’s degree in a healthcare-related discipline - Preferred

• 2 Years - 2 years of recent Clinic and/or Outpatient Coding experience with advanced knowledge of ICD-10-CM and CPT, Coding Guidelines, Coding Clinic, APC reimbursement and extensive knowledge of complex disease processes. - Required

• Certified Coding Specialist (CCS) - Required Upon Hire Or
• Certified Professional Coder (CPC) - Required Upon Hire Or
• Certified Coding Specialist-Physician-based (CCS-P) - Required Upon Hire Or
• Certified Outpatient Coder (COC) - Required Upon Hire
• Registered Health Information Administrator (RHIA) - Preferred Upon Hire Or
• Registered Health Information Technician (RHIT) - Preferred Upon Hire

• Travel to of-site locations may be required. - Required

Qualifications

Essential Technical/Motor Skills

• Input and retrieve data, speaking clearly, precise hand\eye coordination, fine motor skills and good writing skills.
• Detailed knowledge of medical terminology, pathophysiology, coding guidelines.

Interpersonal Skills

• Must be courteous
• Work in a professional, caring manner with internal and external customers
• Demonstrated ability to provide accurate coding advice to Inpatient coding staff, PFS, and other entities as requested.
• Product development and continuous quality improvement knowledge and skills essential.
• Broad knowledge of insurance regulations and Medicare and Medicaid guidelines.
• Proficient in communicating clearly and effectively with multiple constituents.
• Proficient in negotiating complex systems to affect positive change.
• Proficient in computer usage, especially database and spreadsheet analysis.
• Must possess skills required to run a fiscally responsible program while ensuring constant improvement.
• Ability to analyze workload needs within the department and leverage caregivers’ skills with tasks to efficiently complete tasks.
• Knowledge of organizational policies and procedures; skill in identifying problems and recommending solutions.
• Skill in preparing and maintaining records and written reports.
• Skill in establishing and maintaining effective working relationships with physicians, hospital staff and vendors.
• Ability to interpret, adapt, and apply guidelines and procedures.
• Ability to analyze complex clinical scenarios and apply critical thinking.
• Extensive knowledge of reimbursement systems.
• Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation and coding.
• Ability to take lead in HIM projects with other departments, to confidently speak to coding processes, and recommend solutions to issues.

Essential Physical Requirements

• Regularly required to sit, reach with hands and arms, stand, walk, climb, balance, stoop, kneel, or crouch.

Essential Mental Abilities

Essential Sensory Requirements

• Must be able to visualize/interpret patient record.

Exposure to Hazards

Other Skills and Abilities