Senior Ambulatory Surgery Facility Coder - Remote

Job Overview The Coding Senior will be responsible for applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignments for inpatient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) and for ambulatory records (family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). They may also perform the coding functions of a Coding Specialist I. Responsibilities Proficiently navigate the patient health record and other computer systems/sources to accurately determine diagnosis and procedure codes, as well as MS-DRGs and APC assignments, and all required modifiers. Validate charges by comparing charges with health record documentation. Communicate effectively with clinical staff, physicians, office staff, and Clinical Documentation Improvement Specialists regarding documentation issues or needs related to inpatient, outpatient, or ambulatory coding. Identify concerns and notify appropriate leadership for resolution; provide resolution to moderate to complex problems. Track issues (e.g., missing documentation, charges, and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meet or exceed coding quality and productivity standards established by the coding department. Adhere to LCMC confidentiality requirements related to the release of any individual or aggregate patient information. Maintain up-to-date knowledge of changes in coding and reimbursement guidelines, regulations, and relevant policies. Perform other duties as assigned by leadership. Maintain working knowledge of applicable coding and reimbursement federal, state, and local laws and regulations, the Code of Ethics, and other policies and procedures. Must‑Haves / Education & Experience High School Diploma/GED or equivalent and 3 years of work experience, OR Associate’s degree and 1 year of experience. Preferred: Associate’s Degree in HIM or similar, completion of AHIMA-approved coding program or AAPC coding program. Licenses and Certifications (Preferred) Registered Health Information Technician from CCHIIM—AHIMA Registered Health Information Administrator from CCHIIM—AHIMA Certified Coding Specialist from CCHIIM—AHIMA Knowledge, Skills, and Abilities Comprehensive working knowledge of medical terminology, anatomy, physiology, diagnostic and procedural coding, MS‑DRG/APC grouping, and charge description master for charging functions. Knowledge of third‑party reimbursement regulations and billing practices. Experience utilizing encoding/grouping software. Proficient use of standard desktop and Windows‑based computer systems, including email and internet navigation. High ethical standards and integrity. Knowledge of ICD‑10‑CM, ICD‑10‑PCS, CPT/HCPCS, MS‑DRG, APR‑DRG, and APC coding principles and guidelines. Experience in ICD‑10‑CM/PCS coding and reimbursement training. Understanding of the Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory, and provider‑based clinic encounters. Knowledge of hospital and professional coding including provider‑based billing. Knowledge of Joint Commission and CMS documentation regulations. Experience with concurrent coding reviews. Knowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices. Experience in assisting and identifying learning needs, and providing training to coding staff. Strong analytical and problem‑solving skills. Excellent oral, written and interpersonal communication skills. Ability to organize and set priorities to meet objectives in a timely manner. Adaptability to change and proactive handling of challenges. Ability to collaborate effectively with physicians and managerial staff at all levels. Work Shift Days (United States of America) Equal Opportunity Employer LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr 100 LCMC Health