- Remote, United States
- Remote
- Full-time · Senior
- $25–$36 per hour
- 2+ years
Responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, CPT/HCPCS procedure codes, and modifiers to ensure proper reimbursement for complex outpatient accounts.
Compensation
Compensation Range: $24.60 - $36.34
Responsibilities
- Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and CPT/HCPCS procedural codes, and modifiers accurately reflect and support the hospital-based outpatient encounter
- Identifies documentation clarification opportunities to ensure that documentation supports the coding and charges for the services provided. Initiates coding queries and provides feedback to clinicians
- Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided
- Works with the coding denials team for education and assists with denial prevention solutions
- Ensures outpatient accounts are coded accurately and in a timely manner
Requirements
- Successful completion of a coding program, which included coursework in ICD-10-CM, CPT/HCPCS, medical terminology, anatomy and physiology and disease processes
- Two (2) years of hospital outpatient coding experience
- Nice to have: Epic experience
- Nice to have: 3M Encoder experience
- Nice to have: Computer Assisted Coding experience