Outpatient Coder-(Remote)

The Outpatient Coder is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare & Medicaid Services (CMS) directives across network.

Requirements

• Assign codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.
• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
• Analyzes medical records and identifies documentation deficiencies.
• Reviews and verifies documentation supports existing diagnoses, procedures and other charges.
• Identifies reportable elements, complications, and other quality measures.
• Communicates with physicians to clarify information via the physician query process
• Assign CPT, HCPCS and ICD-10-CM codes.
• Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
• Maintains required productivity and quality requirements.
• Other duties and/or projects as assigned.
• Adheres to Organizational competencies and standards of behavior.