Virtual Outpatient Coder - Remote

Outpatient Coder (Remote)Full-time • Work From HomeMust have Surgical/OBS coding experience and documented billing edit experienceOb SummaryAs part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position.Job ResponsibilitiesVerifying accuracy of assigned CPT codes for complex and/or error prone proceduresVerifying the diagnosis coding accuracy for complex and/or error prone encountersValidating certain discharge dispositionsReviewing charge and procedure mismatchesReviewing codes with revenue integrity for NCD/LCD coverageReviewing invalid codes, code conflicts, and missing modifiersWorking with other team members in billing, revenue integrity, etc. to route or resolve alerts/editsCombining codes for payment window encountersInitiating rebills for miss coded encounters, and/orAssisting with resolution of accounts with HIM/Coding unbilled hold reasons preventing final billingQualificationsUndergraduate (Associate's or Bachelor's) degree in HIM/HIT requiredMinimum 1 year hospital, acute care same day surgery outpatient coding and auditing experience requiredRHIA, RHIT or CCS preferredPayer focused, quality edits and customer complaintsMUST HAVE acute care facility coding experience across all OP work types including Same Day Surgery, Observation and specialities of Cardiology, IVR and Wound Care.