Coder Abstractor-Outpatient II Remote ONLY (MA, CT, RI, NM, GA & WY) - Sturdy Health : Job Details

Fully remote - MA, CT, RI, NM, WY, GA

Education/Training:

Associate's degree required

Bachelor's degree preferred

Approved Coding Course completion

Licenses/Certification:

Two or more of the following is required:

• COC (Certified Outpatient Coder)
• CPC with outpatient facility experience

Job Profile Summary: Responsible for collecting, coding and recording accurate and complete patient care data from outpatient facility records to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding, medical terminology according to all coding guidelines.

Required Qualifications and Skills:

Minimum 2 experience in facility outpatient coding to include Outpatient Specialties, Pain Clinic, Wound Care, Cardiac Rehab, Sleep Study, Laboratory, and Radiology, Observation and Same Day Surgery, surgical CPT and Injection and Infusion coding.

Knowledge of NCCI, MUE, and Medical Necessity related edits.

Prior experience with surgical CPT and Injection and Infusion coding.

Working knowledge and accurate application of ICD-10-CM Official Guidelines for Coding and Reporting. Consistently exceeds L1 quality and quantity expectations.

Proficiency in coding all outpatient record types including Injection and Infusion coding and surgical CPT coding.

Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate

Proficiency in technology usage, including 3M encoder

Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology.

Knowledge of ICD-10-CM coding systems.

Remains current with reading and applying ICD-10-CM Official Guidelines for Coding and Reporting, AHA's Coding Clinic and AMA's CPT Assistant advice.

Working knowledge of and ability to resolve NCCI, MUE and Medical Necessity Edits.

Organized, flexible, highly motivated, current with changing regulations and guidelines, insurance billing requirements, annual coding updates and internal data needs; general knowledge of medical record department functions, organization of the medical record as a clinical, legal and financial document; ability to interact with co-workers and physicians to resolve coding, documentation and work-flow issues.

Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.

Preferred Qualifications and Skills:

Experience in Cerner is a plus

Minimum 2 years coding experience in an acute care hospital setting.

Other duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

AGE AND DIVERSITY RELATED CRITERIA: Consistently treats patients, colleagues and visitors with the dignity and respect, while being sensitive to the differing needs of all age groups, backgrounds, characteristics and cultures.

ABILITY TO FULFILL JOB EXPECTATIONS: Must have the ability to the perform essential functions of the position, including required work hours, locations and physical demands, without posing a direct threat to the health and safety of themselves or other individuals in the workplace, and with or without reasonable accommodation.

PHYSICAL DEMANDS: Prolonged periods of sitting at a desk and working on a computer and must be able to lift up to 15 pounds at times.