Outpatient Coder III - HF Coding and Documentation

Job Requirements

** Candidate to be considered must reside in the state of Florida. This is a work from home opportunity with majority being remote work**

Position Summary

To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement.

PRIMARY ACCOUNTABILITES
1. Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes


to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and


other outpatient records as per coding guidelines demonstrating behavior that reflects integrity,


shows a commitment to ethical and legal coding practices, and fosters trust in professional


activities.
2. Validate accuracy of codes assigned by the computer assisted coding software, recognizing


inappropriate application of clinical coding rules/guidelines, and revising the codes assigned


based upon expert subject matter knowledge and provider documentation.
3. Literacy and proficiency in computer technology specifically related to health information and


coding applications utilized for daily job performance.
4. Interpret clinical documentation to ensure codes reported are clearly and consistently supported


by the health record.
5. Request clarification from provider when there is conflicting, incomplete, or ambiguous


information in the health record regarding a significant reportable condition or procedure or


other reportable data element.
6. Abstract pertinent information accurately and completely into the computer assisted coding


application.
7. Maintain coding quality and productivity as per departmental standards.
8. Competent in analyzing medical necessity of codes assigned utilizing and applying local and


national coverage determination regulations and guidelines.
9. Responds timely to pre-bill edits received ensuring a prompt turn-around-time to assist in


facilitating an efficient revenue cycle.
10. Communicates professionally identified discrepancies, documentation issues, denial


management issues and coding concerns in the medical record to the appropriate department


and/or leader.
11. Stays up to date with regulatory changes by completing all mandatory educational


accountabilities in a timely manner.
12. Attends department meetings and other outpatient meetings as scheduled.
13. Accurate and ethical time and attendance recording ensuring non-productivity logs are


completed and submitted by deadline set.
14. Provide departmental coding coverage by cooperating with occasional schedule revisions and


overtime requests when staffing needs arise assisting with maintenance of discharge not final


coded (DNFC) departmental goals.
15. Maintain and observe patient confidentiality as outlined in the National Patient Safety Goals and


HIPAA guidelines always protecting the confidentiality of the health record and refusing to


access protected health information not required for coding-related activities

Work Experience

MINIMUM QUALIFICATIONS
• Education: High School Diploma or equivalent.
• Work Experience: Three (3) years outpatient coding experience.
• Licensure: None
• Certification: None
• Skills/Knowledge/Abilities:

o Competent in understanding medical terminology.


o Basic understanding of anatomy and physiology.


o Excellent communication, problem solving and critical thinking skills.

o Utilize critical thinking skills and formulate logical decisions to apply clinical coding


guidelines to health record documentation.

o Strong written and oral communication skills for professional interaction.

o Excellent computer and telephone skills.

o Ability to read and comprehend instructions, correspondence, memos, and electronic


mail.

o Must be detail and accuracy oriented.

o Ability to coordinate and use logical reasoning to facilitate daily workflow assignments.

o Ability to multi-task.

o Ability to work independently maintaining focus on scope of work assigned.

PREFFERED QUALIFICATIONS
• Work Experience: Five (5) years outpatient coding experience.
• Certification: Any one of the following:

o American Health Information Management Association (AHIMA) OR

o American Academy of Professional Coders (AAPC).

PHYSICAL REQUIREMENTS
• Majority of time involves sitting or standing; occasional walking, bending, and stooping.
• Long periods of computer time or at workstation.
• Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
• May be exposed to inside environments with varied temperatures, air quality, lighting and/or low


to moderate noise.
• Communicating with others to exchange information.
• Visual acuity and hand-eye coordination to perform tasks.
• Workspace may vary from open to confined, onsite, or remote.
• May require travel to various facilities within and beyond county perimeter; may require use of


personal vehicle.

Benefits

ABOUT HEALTH FIRST

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working


together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse


voices of our associates. We know through experience that different ideas, perspectives, and


backgrounds create a stronger and more collaborative work environment that delivers better results. As


an organization, it fuels our innovation and connects us closer to our associates, customers, and the


communities we serve