Hospital Outpatient Specialty Coder

Summary ruralMED Management Resources, an Ovation Healthcare partner, seeks a Hospital Outpatient Specialty Coder. This role, under general direction, is responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. The candidate will ensure the timely and accurate coding of medical claims while maximizing reimbursement for services. Responsibilities Charge Entry: Receive and review charge entry data from practice sites, identify and investigate incomplete or missing charges. Coding: Abstract clinical information; translate medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems. Sequence codes according to established guidelines and ensure accuracy for prospective payment system reimbursement. Maintain current knowledge of coding rules and regulations as designated by the AMA, CMS and other payers. Maintain proficient knowledge of EHR and other systems required to perform job duties. Communicate issues to management, including payer, system, or escalated account issues. Identify medical necessity denial trends and provide suggestions for resolution. Perform other billing functions including claim submission, unpaid claims follow‑up, and denial resolution. Participate in department meetings, in‑service programs, and continuing education programs. Convey a professional attitude with patients, visitors, physicians, office staff and hospital personnel. Assure confidentiality of patient information while maintaining compliance with policies and procedures. Perform other duties as assigned. Qualifications & Experience High School Diploma or GED - required. Associate Degree - preferred. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) - required. Three to five years in emergency room coding, infusion coding, specialty clinic procedure coding - preferred. Two years’ experience with formal coding training - considered. Knowledge of medical terminology - required. Critical Access Hospital and/or Rural Health Clinic coding experience is a plus. Proficiency with Microsoft Office. Strong verbal and written communication skills. Ability to use multiple client systems and manage competing priorities. Enthusiasm for a remote teamwork environment. Remote Work 100% Remote. #J-18808-Ljbffr