Lead Ambulatory Surgery Facility Coder - Remote

OverviewLead Ambulatory Surgery Facility Coder - RemoteJoin to apply for the Lead Ambulatory Surgery Facility Coder - Remote role at LCMC Health. The Coder Lead will code all patient types as needed: inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, including newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT.ResponsibilitiesProficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs.Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers.Validates charges by comparing charges with health record documentation as necessary.Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtained from the health record.Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding.Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems.Tracks issues (e.g., missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion.Consistently meets or exceeds coding quality and productivity standards established by the coding department.Adheres to confidentiality requirements as they relate to release of any individual or aggregate patient information.Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.Performs other duties as assigned by leadership.Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures to ensure ethical and professional behavior.QualificationsThe Must-HavesExperienceMinimum of three (3) years of experience in current complex outpatient and inpatient coding (required).EducationRequired: Completion of an AHIMA- or AAPC-approved coding program.Required: Associate degree in Health Information Management or related field or equivalent combination of education and experience.Licenses and CertificationsCertification Name: Certified Coding Specialist (CCS); Required; Issuer: AHIMA or AAPCCertification Name: Certified Inpatient Coder (CIC); Required; Issuer: AHIMA or AAPCCertification Name: Certified Professional C coder (CPC); Required; Issuer: AHIMA or AAPCCertification Name: RHIA/RHIT certification; Issuer: AHIMANote: Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program.Skills and AbilitiesExtensive knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG/APC concepts.Experience using encoding/grouping software and CAC tools.Proficiency with ICD-10-CM/PCS, CPT/HCPCS, MS-DRG, APR-DRG, and APC guidelines.Knowledge of PPS methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.Strong understanding of Joint Commission and CMS documentation requirements.Experience with concurrent coding reviews and ability to train others.Excellent communication, problem-solving and interpersonal skills; able to collaborate with physicians and managers at all levels.Ability to organize, prioritize and adapt to change.Work ScheduleVariable Hours (United States of America)About LCMC HealthLCMC 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.The information provided is intended to describe the general nature and level of work performed by people assigned to this role. This is not an exhaustive list of duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.J-18808-Ljbffr