Full-Time Outpatient Coder II (Remote)

Outpatient Coder II reflects the mission, vision, and values of NM. Adheres to the organization’s Code of Ethics and Corporate Compliance Program and complies with all relevant policies, procedures, guidelines, and regulatory/accreditation standards.

Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets ICD-10-CM coding conventions and instructional notes for accurate diagnoses (minimum 95% accuracy).

Meets established coding productivity per departmental protocol and guidelines. The Outpatient Coder II is the coding and reimbursement expert for ICD-10-CM diagnosis coding, HCPCS and CPT codes and modifiers, specializing in complex outpatient encounters (Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed).

Requires more in-depth knowledge of disease process, A&P and pharmacology related to the entire body system for accurate coding and reimbursement.

Expanded knowledge with HCPCS, Level I, II Chargemaster and CPT soft codes with approved facility modifiers to resolve NCCI Edits.

Responsibilities Include:

• Assigns appropriate ICD-10-CM and CPT-4 codes to outpatient visits.
• Thoroughly reviews medical records to code diagnoses and procedures.
• Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology.
• Sends physician queries for documentation clarification.
• Follows Coding Clinic, HCPCS, CPT Assistant, and interprets coding conventions and instructional notes for accuracy.
• Provides technical expertise to analyze system changes and participates in software modification testing. Identifies opportunities to enhance CAC (computer assisted coding).
• Resolves NCCI Edits using approved hospital modifiers.
• Utilizes 3M Encoder resources for optimal coding accuracy.
• Articulates rationale for coding selections as needed (e.g., prompted by data quality audit results).
• Meets established coding productivity (90%) and quality standards (95%) for each encounter type.

Required:

• AHIMA credential.
• 20-30 CE's every two years to remain credentialed.
• 3-4 years of coding experience in an acute healthcare setting.
• RHIT, RHIA, or CCS credential.
• Ability to work with minimal supervision.

Preferred:

• Bachelor’s degree in a related field.
• 4 years of coding experience in an acute healthcare setting.

Location: Must reside in IL, IN, IA, or WI.

Employment Type: Full-time

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