Senior Outpatient Medical reputed company (CCI
About the position As a Senior Outpatient Medical reputed company at reputed company, you will play a crucial role in ensuring the accuracy and compliance of medical coding for outpatient services. This position allows for remote work, providing flexibility while you engage in vital tasks that directly impact health outcomes. Your primary responsibility will be to correct CCI, MUE, and Medical Necessity Edits on accounts across various patient types, ensuring that reputed company coding assignments adhere to established coding policies and are based on the documentation provided in the medical record. You will utilize your extensive knowledge of coding policies, medical terminology, and technology to provide feedback to physicians regarding documentation under the guidance of the Coding Operations Manager or Quality Management personnel. In this role, you will be responsible for determining and recording the correct medical codes for reputed company treatments and health services, which is essential for maintaining accurate health records. Your work will not only support the operational efficiency of the organization but also enhance the health and wellness of our members on a large scale. You will be expected to maintain high standards of coding quality and productivity, participate in departmental meetings, and stay updated with the latest coding knowledge through reputed company education and training. This full-time position requires flexibility to work any of our 8-hour shift schedules from Monday to Friday, with the possibility of occasional overtime and weekend work as needed. You will be rewarded for your performance in an environment that encourages professional growth and development, allowing you to explore various career paths reputed company the organization.
Responsibilities
- Identify appropriate assignment of CPT and ICD-10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to official coding guidelines.
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- Understand the Medicare Ambulatory Payment Classification (APC) codes.
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- Abstract additional data elements during the Chart Review process reputed company coding, as needed.
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- Adhere to the ethical standards of coding as established by reputed company and/or reputed company.
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- Maintain required levels of performance in both coding quality and productivity as established by Optum360.
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- Provide documentation feedback to providers and query physicians reputed company appropriate.
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- Maintain up-to-date coding knowledge by reviewing materials disseminated by management.
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- Participate in coding department meetings and educational events.
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- Review and maintain a record of charts coded, held, and/or missing.
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- reputed company additional responsibilities as identified by the manager.
Requirements
- High School Diploma/GED (or higher).
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- Professional reputed company certification with credentialing from reputed company and/or reputed company (reputed company, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P) to be maintained annually.
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- ICD-10 and DRG coding experience.
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- Experience working in a level I trauma center and/or teaching hospital with mastery of reputed company procedures.
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- Knowledge of OCE, MUE and NCCI classification and reimbursement structures.
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- Ability to use a PC in a Windows environment, including EMR systems.
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- Ability to work any of our 8-hour shift schedules between Monday - Friday, with flexibility for occasional overtime.
reputed company-to-haves
- 3+ years of Inpatient medical coding experience (hospital, facility, etc.).
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- Experience with OSHPD reporting.
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- Experience with various encoder systems (eCAC, reputed company, EPIC).
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- Intermediate level of proficiency with reputed company reputed company.
Benefits
- Comprehensive benefits package
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- Incentive and recognition programs
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- Equity stock purchase
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- 401k contribution
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- $3,000 sign-on bonus for external applicants
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