Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.

Select and sequence principal and secondary diagnosis and procedure codes.

Assign appropriate DRG.

Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.

Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.

Abstract statistical data from the patient record and enter information following the facility guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Review documentation of various providers to determine accurate coding for all medical services and surgical procedures from available medical records within electronic medical records.

If the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.

Determine all appropriate diagnoses and assign the most specific ICD-10 code.

Assist other departments in coding and reimbursement issues.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Develop trusted relationships with the client contacts and other team members around the globe.

Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.

Completes all assigned work in a timely manner based on internal, client and/or payer standards.

Maintain at least a 95% accuracy rate at all times.

Maintain productivity standards, tracking and deadlines.

Maintain and complete accurate productivity and tracking logs.

Keep all equipment updated and active on the internet.

Comply with established facility policies and procedures.

High school or GED required.

Associates or Bachelors in Health Information Preferred

Graduate of an approved certified coding program required or equivalent experience.

Certification requirements: CCS

The candidate must have at least 5 years or more of recent inpatient medical coding experience at a large (300+ beds) acute care facility and be certified.

Large Facility Experience, Trauma experience, teaching facility experience. Experience with coding orthopedics, cardiology, and neurology.

Thorough knowledge of ICD 10 CM and CPT coding principles and rules, Coding Clinic Guidelines and Coding Compliance

Current Continuing Education Credits.

Productive and Accurate

Working knowledge of disease processes, MS-DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing

Effective written and verbal communication skills

Experience with encoder technology, computerized abstracting systems, and electronic medical record systems

Ability to work independently

Microsoft Office proficient a MUST; especially Excel.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not require travel at this time.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position does not have any direct reports at this time.

Review assigned ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.

Review the selected and sequenced principal and secondary diagnosis and procedure codes.

Review assigned DRG to ensure it is appropriate.

Review the medical record and all applicable documentation to determine the appropriate codes were assigned for the services and diagnoses and document findings in an excel spreadsheet and/ or auditing tool.

Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.

Review the abstract of statistical data from the patient record and enter information following the facility guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Review documentation of various providers to determine accurate coding for all medical services and surgical procedures from available medical records within electronic medical records.

Review to determine if the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.

Identify missed query opportunities.

Determine that all appropriate diagnoses were assigned to the most specific ICD-10 code.

Assist other departments in coding and reimbursement issues.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Develop trusted relationships with the client contacts and other team members around the globe.

Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.

Completes all assigned work in a timely manner based on internal, client and/or payer standards.

Maintain at least a 95% accuracy rate at all times.

Maintain productivity standards, tracking and deadlines.

Maintain and complete accurate productivity and tracking logs.

Keep all equipment updated and active on the internet.

Comply with established facility policies and procedures.

High school or GED required.

Associates or Bachelors in Health Information preferred

Graduate of an approved certified coding program required or equivalent experience.

Certification requirements: CCS

The candidate must have at least 5 years or more of recent inpatient medical coding experience at a large (300+ beds) acute care facility and be certified.

Large Facility Experience, Trauma experience, teaching facility experience. Experience with coding orthopedics, cardiology, and neurology.

Thorough knowledge of ICD 10 CM and CPT coding principles and rules, Coding Clinic Guidelines and Coding Compliance

Current Continuing Education Credits.

Productive and Accurate

Working knowledge of disease processes, MS-DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing

Effective written and verbal communication skills

Experience with encoder technology, computerized abstracting systems, and electronic medical record systems

Ability to work independently

Microsoft Office proficient a MUST; especially Excel.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not require travel at this time.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position does not have any direct reports at this time.

Review assigned ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.

Review the selected and sequenced principal and secondary diagnosis and procedure codes.

Review assigned DRG to ensure it is appropriate.

Review the medical record and all applicable documentation to determine the appropriate codes were assigned for the services and diagnoses and document findings in an excel spreadsheet and/ or auditing tool.

Review assigned ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.

Review the medical record and all applicable documentation to determine the appropriate codes was assigned for the services and diagnoses and document the findings in an excel spreadsheet and/ or auditing tool.

Ensures diagnosis codes meet local and national medical necessity guidelines.

Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.

Review the abstract of statistical data from the patient record and enter information following the facility guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Review documentation of various providers to determine accurate coding for all medical services and surgical procedures from available medical records within electronic medical records.

Review to determine if the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.

Identify missed query opportunities.

Determine that all appropriate diagnoses were assigned to the most specific ICD-10 code.

Assist other departments in coding and reimbursement issues.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Develop trusted relationships with the client contacts and other team members around the globe.

Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.

Completes all assigned work in a timely manner based on internal, client and/or payer standards.

Maintain at least a 95% accuracy rate at all times.

Maintain productivity standards, tracking and deadlines.

Maintain and complete accurate productivity and tracking logs.

Keep all equipment updated and active on the internet.

Comply with established facility policies and procedures.

High school or GED required.

Associates or Bachelors in Health Information preferred

Graduate of an approved certified coding program required or equivalent experience.

Certification requirements: CCS

The candidate must have at least 5 years or more of recent inpatient medical coding experience at a large (300+ beds) acute care facility and be certified.

Large Facility Experience, Trauma experience, teaching facility experience. Experience with coding orthopedics, cardiology, and neurology.

Thorough knowledge of ICD 10 CM and CPT coding principles and rules, Coding Clinic Guidelines and Coding Compliance

Current Continuing Education Credits.

Productive and Accurate

Working knowledge of disease processes, MS-DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing

Effective written and verbal communication skills

Experience with encoder technology, computerized abstracting systems, and electronic medical record systems

Ability to work independently

Microsoft Office proficient a MUST; especially Excel.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not require travel at this time

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position does not have any direct reports at this time.

Assign ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility (outpatient surgeries, ED, and ancillary) environment depending on the specific client assignment.

Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.

Ensures diagnosis codes meet local and national medical necessity guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Trains and orients new team members according to client specific guidelines while utilizing the facility encoder, CAC and EMR.

Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.

Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.

Assists Coding leadership with continuing education for all coding personnel.

Facilitates peer review and training for Coding personnel.

Prepares and performs coding audits to ensure consistent and high quality coding.

Resolves error reports associated with billing process and identifies and reports error patterns.

Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.

Coordinates flow of information between coding and other departments, which include Medical Records, Medical Audit, Patient Accounts, Performance Improvement, Corporate Compliance, Clinical Care Management and other coding reviews as requested.

Audits outpatient medical records to identify the appropriate diagnosis and procedure codes, as well as all other appropriate secondary diagnoses and procedure codes.

Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.

Must meet all coder/auditor productivity and quality goals.

High school or GED required.

Associates or Bachelors in Health Information Preferred

CPC or CCS Certification Required

Three to Five years of relevant coding and auditing experience in the areas of outpatient surgeries, ED, and ancillary.

Previous training, auditing, and leadership experience required.

Extensive knowledge of ICD, CPT, HCPCS, Medical Necessity, Modifiers, and Denials

Must display sophisticated writing and interpersonal communication skills.

Excellent organizational skills and ability to work independently.

Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position has no direct reports

Assign ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.

Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.

Ensures diagnosis codes meet local and national medical necessity guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.

Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.

Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.

Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.

Must meet all coder productivity and quality goals.

Maintain a 95% accuracy rate.

And other duties as assigned.

High School Diploma or GED required.

Associates or Bachelors in Health Information Preferred

CCS, Certification Required

Three to Five years of outpatient coding experience.

Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials

Must display sophisticated writing and interpersonal communication skills.

Excellent organizational skills and ability to work independently.

Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position has no direct reports

Review assigned ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.

Review the medical record and all applicable documentation to determine the appropriate codes was assigned for the services and diagnoses and document the findings in an excel spreadsheet and/ or auditing tool.

Ensures diagnosis codes meet local and national medical necessity guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.

Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.

Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.

Must meet all auditor productivity and quality goals.

Maintain a 95% accuracy rate.

And other duties as assigned.

High School Diploma or GED required.

Associates or Bachelors in Health Information Preferred

CCS Required

Three to Five years of outpatient coding experience.

Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials

Must display sophisticated writing and interpersonal communication skills.

Excellent organizational skills and ability to work independently.

Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position has no direct reports

Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Concurrently assign ICD-10-CM codes for diagnosis and PCS codes for procedures of a specific specialty or multiple specialties on a daily basis for inpatient charts.

Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Highly detailed follow up of accounts with inconsistent documentation, query opportunities, unanswered queries, missing or incomplete op notes, path reports etc.

Under limited direction and according to clinical documentation guidelines and established policies/procedures, responsible for improving the overall quality and completeness of clinical documentation.

Conducts reviews of clinical documentation within the inpatient medical record to provide Clinical Documentation Improvement (CDI) program oversight to achieve accurate and detailed documentation.

This position collaborates with providers and other healthcare team members to make improvements that result in accurate, comprehensive documentation that reflects completely the clinical treatment, decisions, and diagnoses for the patient.

This position also involves writing queries without a template to physicians. Must be willing to answer questions and explain the need for certain queries.

Ensures appropriate provider documentation for clinically indicated conditions or procedures supports appropriate assignment of severity of illness, expected risk of mortality, intensity of service and resource consumption, which in turn accurately portrays the facility’s quality outcomes ratings, reduces compliance risks, and captures appropriate reimbursement.

Educates coders, physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.

Provides formal and informal in-services as needed to physicians and ancillary staff.

Must complete DRG mismatches with coders to ensure the best DRG is captured.

Collaborates with HIM coding staff to ensure the most appropriate reimbursement is achieved for the level of service rendered to all patients.

Achieves and maintains a minimum accuracy rate consistent with Facility, Division, or Corporate program requirements.

Participates in the analysis and trending of statistical data to identify opportunities for improvement.

Assists with the preparation and presentation of clinical documentation monitoring/trending reports for review with hospital and medical staff leadership.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Develop trusted relationships with the client contacts. Communicate daily with the client (emails, questions on unusual situations etc.)

Administrative tasks (multiple daily emails, multiple spreadsheets, tracking of unanswered queries, detailed productivity reports)

Completes all assigned work in a timely manner based on internal, client and/or payer standards.

Maintain productivity and quality standards, tracking and deadlines.

Keep all equipment updated and active on the internet.

Comply with established facility policies and procedures.

Complete other duties as assigned.

High school or GED required.

Graduate of an approved certified coding program required or equivalent experience.

Active certification with AHIMA (CCS, RHIA, or RHIT) as applicable to skill set.

Current Continuing Education Credits.

Five+ years of inpatient facility coding experience.

Experience using Electronic Medical Records and/or billing/coding systems a plus.

A positive team-member, who listens to others opinions, accepts and uses suggestions for improvement and contributes to the team effort.

A self-starter able to prioritize, be well-organized, motivated, flexible, and able to think outside the box.

Proven training and leadership skilled needed

Must display sophisticated writing and interpersonal communication skills.

Excellent organizational skills and ability to work independently.

Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit for up to 8 hours a day.

This is a largely sedentary role, however some filing is required. This would require the ability to lift files, open filing cabinets and bending or standing on a stool as necessary.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position does not have any direct reports at this time.

Assign ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.

Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.

Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.

Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.

Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.

Must meet all coder productivity and quality goals.

Maintain a 95% accuracy rate.

And other duties as assigned.

High school or GED required.

High School Diploma or GED required.

Associates or Bachelors in Health Information Preferred

CPC or CCS Certification Required

Three to Five years of outpatient coding experience.

Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials

Must display sophisticated writing and interpersonal communication skills.

Excellent organizational skills and ability to work independently.

Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position does not have any direct reports at this time.

The outpatient medical coder will provide assistance with all related activities, including coding of facility charts or professional services. Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services

Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.

Ensures diagnosis codes meet local and national medical necessity guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.

Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance

Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.

Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.

Must meet all coder productivity and quality goals.

Maintain a 95% accuracy rate.

And other duties as assigned.

High School Diploma or GED required.

Associates or Bachelors in Health Information Preferred

CCS Certification Required

Three to Five years of outpatient coding experience.

Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials

Must display sophisticated writing and interpersonal communication skills.

Excellent organizational skills and ability to work independently.

Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position does not have any direct reports at this time.

Assign ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment with pediatric coding experience.

Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.

Ensures diagnosis codes meet local and national medical necessity guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements

Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.

Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.

Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.

Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.

Must meet all coder productivity and quality goals

Maintain a 95% accuracy rate.

And other duties as assigned.

High School Diploma or GED required

Associates or Bachelors in Health Information Preferred

CCS, Certification Required

Three to Five years of outpatient pediatric coding experience.

Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials

Must display sophisticated writing and interpersonal communication skills

Excellent organizational skills and ability to work independently.

Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position does not have any direct reports at this time.

Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.

Select and sequence principal and secondary diagnosis and procedure codes

Assign appropriate DRG

Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.

Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.

Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.

Abstract statistical data from the patient record and enter information following the facility guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

If the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.

Determine all appropriate diagnoses and assign the most specific ICD-10 code.

Assist other departments in coding and reimbursement issues.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Develop trusted relationships with the client contacts and other team members around the globe.

Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.

Completes all assigned work in a timely manner based on internal, client and/or payer standards.

Maintain at least a 95% accuracy rate at all times

Maintain productivity standards, tracking and deadlines.

Maintain and complete accurate productivity and tracking logs.

Keep all equipment updated and active on the internet.

Comply with established facility policies and procedures.

High school or GED required.

Associates or Bachelors in Health Information Preferred

CPC or CCS Certification Required

Graduate of an approved certified coding program required or equivalent experience.

Certification requirements: CCS

The candidate must have at least 5 years or more of recent inpatient medical coding experience at a long term acute care/inpatient rehabilitation facility and be certified.

Large Facility Experience, Trauma experience, teaching facility experience. Experience with coding orthopedics, cardiology, and neurology.

Thorough knowledge of ICD 10 CM and CPT coding principles and rules, Coding Clinic Guidelines and Coding Compliance

Current Continuing Education Credits.

Productive and Accurate

Working knowledge of disease processes, MS-DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing

Effective written and verbal communication skills

Experience with encoder technology, computerized abstracting systems, and electronic medical record systems

Ability to work independently

Microsoft Office proficient a MUST; especially Excel

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position has no direct reports

Review assigned ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.

Review the medical record and all applicable documentation to determine the appropriate codes was assigned for the services and diagnoses and document the findings in an excel spreadsheet and/ or auditing tool.

Ensures diagnosis codes meet local and national medical necessity guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.

Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.

Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.

Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.

Must meet all auditor productivity and quality goals.

Maintain a 95% accuracy rate.

And other duties as assigned.

High school or GED required.

Associates or Bachelors in Health Information Preferred

CCS Certification Required

Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials

Must display sophisticated writing and interpersonal communication skills.

Excellent organizational skills and ability to work independently.

Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position has no direct reports

Review assigned ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, IR, Cardiac Cath, and Outpatient surgeries) depending on the specific client assignment.

Review the medical record and all applicable documentation to determine the appropriate codes was assigned for the services and diagnoses and document the findings in an excel spreadsheet and/ or auditing tool.

Ensures diagnosis codes meet local and national medical necessity guidelines.

Code combined accounts.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.

Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.

Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.

Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.

Must meet all auditor productivity.

Maintain a 95% accuracy rate.

And other duties as assigned.

High School Diploma or GED required.

Associates or Bachelors in Health Information Preferred

CCS Required

Three to Five years of outpatient coding experience.

Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials

Must display sophisticated writing and interpersonal communication skills.

Excellent organizational skills and ability to work independently.

Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position has no direct reports

Review assigned ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts to determine the reason for the denied claim.

Review the selected and sequenced principal and secondary diagnosis and procedure codes.

Review assigned DRG to ensure it is appropriate.

Review the medical record and all applicable documentation to determine the appropriate codes were assigned for the services and diagnoses and document findings in an excel spreadsheet and/ or auditing tool.

Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.

Review the abstract of statistical data from the patient record and enter information following the facility guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Review documentation of various providers to determine accurate coding for all medical services and surgical procedures from available medical records within electronic medical records.

Review to determine if the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.

Identify missed query opportunities.

Determine that all appropriate diagnoses were assigned to the most specific ICD-10 code.

Assist other departments in coding and reimbursement issues.

Assist other departments in coding and reimbursement issues.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Develop trusted relationships with the client contacts and other team members around the globe.

Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.

Completes all assigned work in a timely manner based on internal, client and/or payer standards.

Maintain at least a 95% accuracy rate at all times.

Maintain productivity standards, tracking and deadlines.

Keep all equipment updated and active on the internet.

Comply with established facility policies and procedures.

High school or GED required.

High school or GED required.High school or GED required.

Associates or Bachelors in Health Information preferred

Graduate of an approved certified coding program required or equivalent experience.

Certification requirements: CCS

The candidate must have at least 5 years or more of recent inpatient medical coding experience at a large (300+ beds) acute care facility and be certified.

Large Facility Experience, Trauma experience, teaching facility experience. Experience with coding orthopedics, cardiology, and neurology.

Thorough knowledge of ICD 10 CM and CPT coding principles and rules, Coding Clinic Guidelines and Coding Compliance

Current Continuing Education Credits.

Productive and Accurate

Working knowledge of disease processes, MS-DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing

Effective written and verbal communication skills

Experience with encoder technology, computerized abstracting systems, and electronic medical record systems

Ability to work independently

Microsoft Office proficient a MUST; especially Excel.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not require travel at this time.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position does not have any direct reports at this time.

Assign ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.

Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.

Ensures diagnosis codes meet local and national medical necessity guidelines.

Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.

Follow all HIPAA regulations and uphold a higher standard around privacy requirements.

Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.

Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.

Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.

Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.

Must meet all coder productivity and quality goals.

Maintain a 95% accuracy rate.

And other duties as assigned.

High School Diploma or GED required.

Associates or Bachelors in Health Information Preferred

CPC or CCS Certification Required

Three to Five years of outpatient coding experience with proficiency and prior experience having coded ED charts.

Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials

Must display sophisticated writing and interpersonal communication skills.

Excellent organizational skills and ability to work independently.

Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.

This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines

This position does not requires travel.

Must be able to sit and/or stand for up to 8 hours a day.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.

This position does not have any direct reports at this time.