Pro JTS - Remote Coder

Job Description

Job Description

JTS is hiring a Level 3 Remote Coder (Outpatient Coders with 3+ years of experience wiiling to train to become Inpatient Coders)

***This remote role offers a unique career growth opportunity: current outpatient coders will receive hands-on training and one-on-one mentoring to build inpatient coding expertise over a 9-month development period. Upon successful completion, candidates transition into a permanent Inpatient Coder position a clear, supported pathway to advance your coding career with JTS. All candidates must possess and maintain certification through either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC.)***

Level 3 coding candidates must have 3+ years outpatient coding experience with expertise in Same Day (Outpatient Surgery) and Observation encounters. Ancillary encounter coding may also be expected.Encoder experience required, preferably 3M, Codify or Optum but will also consider other encoder experience. Experience working with Cerner required.

Primary Responsibilities:

Electronically receives assigned medical charts to code

Reviews, analyzes, and interprets the medical record for the current encounter, identifying all diagnoses and procedures documented.

Deliver expertise in same day surgery (outpatient surgery) coding with extensive knowledge in principles of medical necessity and modifier guidelines.

Deliver expertise in observation coding with extensive knowledge in principals of medical necessity and modifier guidelines as well as observation hour charging and carve-out criteria

Delivers expertise in ancillary coding with extensive knowledge in principles of medical necessity and modifier guidelines, as required by assignment.

Assigns and sequences ICD-10-CM diagnosis and CPT/HCPCs codes in accordance with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and in compliance with ICD-10 Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS) and other regulatory requirements

Demonstrate proficiency in coding including ICD-10-CM, CPT and HCPCs while consistently maintaining a 95% or greater accuracy score.

Researches and resolves assigned coding projects

Performs ongoing analysis of medical record charts for coding compliance

Maintain productivity based on national standards and/or client-specific standards

Possesses the ability to work independently with little to no supervision

Satisfactorily performs other duties as required and assigned

Required Qualifications:

High school diploma or GED

3+ years of medical coding experience in outpatient coding to include Same Day Surgery (outpatient surgery) and observation coding with ability to also code ancillary, emergency department and/or professional fee encounters

Extensive knowledge of medical terminology, anatomy and physiology, and ancillary test results.

Extensive knowledge of, but not limited to: current Official Coding Guidelines and methodologies, ICD-10-CM/CPT/HCPCs coding guidelines and conventions.

Extensive knowledge of coding systems and regulatory requirements of the Outpatient Prospective Payment System (OPPS)

Extensive knowledge of medical necessity edits, CCI edits and modifier usage.

Extensive knowledge of CPT guidelines regarding the coding of injections and infusions in the outpatient setting

Required Coding certification to include at least one (1) the following:

American Health Information Management Association (AHIMA) Credentials

CCS (Certified Coding Specialist)

RHIA (Registered Health Information Administrator)

RHIT (Registered Health Information Technician)

American Academy of Professional Coders (AAPC) Credentials

CPC (Certified Professional Coder)

COC (Certified Outpatient Coder)

Microsoft Office proficiency to include Teams, Word, Outlook and Excel

Strong communication skills (interpersonal, verbal and written)

Strong organizational and analytical thinking skills

High speed internet and secure home office space (documentation required)

Passing score for online coding proficiency test required

40 hours (Full-time) availability weekly

Preferred Qualifications:

Facility-based coding experience

Professional fee coding experience

Encoder experience

Experience with electronic health records including but not limited to: Cerner, EPIC, Meditech, AllScripts, McKesson

Note: The purpose of this document is to describe the general nature of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.

JTS Health Partners (JTS) is a healthcare professional services and analytics firm focused on Revenue Cycle Management (RCM), Health Information Management (HIM), Health Information Technology (HIT), Healthcare Analytics as a Service (AaaS) and Financial Technology (FinTech). JTS offers consulting, operational and analytical services that align with performance improvement initiatives of healthcare systems, hospitals and physician practices. At JTS, we create the WOW factor for each other and our clients. We embrace a culture where employees are empowered to be innovative and grow personally and professionally.

JTS is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race; color; religion; national origin; sex; pregnancy; sexual orientation; gender identity and/or expression; age; disability; genetic information, citizenship status; military service obligations or any other category protected by applicable federal, state, or local law. JTS makes hiring decisions based solely on qualifications, merit, business needs.