Certified Sr (IP) Acute Edits Medical Coder - Remote Nationwide
About the position
Responsibilities
• Identify appropriate assignment of ICD-10-CM and ICD-10-PCS Codes for inpatient services provided in a hospital setting.
• Identify appropriate assignment of CPT and ICD-10 Codes for outpatient surgery, observation, emergency, and ancillary services.
• Understand the Medicare Ambulatory Payment Classification (APC) codes.
• Abstract additional data elements during the Chart Review process when coding, as needed.
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA.
• Maintain required levels of performance in both coding quality and productivity as established by Optum360.
• Provide documentation feedback to providers and query physicians when appropriate.
• Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by management.
• Participate in coding department meetings and educational events.
• Review and maintain a record of charts coded, held, and/or missing.
Requirements
• High School Diploma/GED (or higher).
• Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P) to be maintained annually.
• 3+ years of recent Inpatient medical coding experience (hospital, facility, etc.).
• 2+ years of recent working experience with OCE, MUE and NCCI classification and reimbursement structures.
• Experience working in a level I trauma center and/or teaching hospital with a mastery of complex procedures.
• ICD-10 and DRG coding experience.
• Ability to use a PC in a Windows environment, including MS Excel and EMR systems.
Nice-to-haves
• Experience with OSHPD reporting.
• Experience with various encoder systems (eCAC, 3M, EPIC).
Benefits
• 401(k)
• $5,000 sign-on bonus for external applicants
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
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