Coding Specialist
Full Time
Altamonte Springs, FL 32714
$21.45 - $29.54 an hour
Posted 1 day ago
Job description
Out Patient coder -
Remote
Nashville, TN
Job SummaryAs part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position. Job Responsibilities· Verifying accuracy of assigned CPT codes for complex and/or error prone procedures,
Job SummaryAs part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position. Job Responsibilities· Verifying accuracy of assigned CPT codes for complex and/or error prone procedures,
- Verifying the diagnosis coding accuracy for complex and/or error prone encounters,
- Validating certain discharge dispositions,
- Reviewing charge and procedure mismatches,
- Reviewing codes with revenue integrity for NCD/LCD coverage,
- Reviewing invalid codes, code conflicts, and missing modifiers,
- Working with other team members in billing, revenue integrity, etc. to route or resolve alerts/edits,
- Combining codes for payment window encounters,
- Initiating rebills for miss coded encounters, and/or
- Assisting with resolution of accounts with HIM/Coding unbilled hold reasons preventing final billing.
- Undergraduate (Associate's or Bachelor's) degree in HIM/HIT required
- Minimum 1 year hospital, acute care same day surgery outpatient coding and auditing experience required
- RHIA, RHIT or CCS preferred
- Payer focused, quality edits and customer complaints
- Looking for candidates with ambulatory or hospital acute care coding experience working with same day surgeries and outpatient observation coding.
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