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David Careers

Pena4 Inc is hiring: Medical Coder (Outpatient) in New York

Posted 15 days ago

pena4New York (NY)
Health Information Technologists and Medical RegistrarsAll Other Miscellaneous Ambulatory Health Care Services

SENIORITY

Senior

SALARY

$15.00 To $30.00 Hourly

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About the role

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder (Outpatient) Contractor - 1099 Professional New York, NY, USToday Requisition ID: 1003
Salary Range: $15.00 To $30.00 HourlyRole Overview
TheMedical Coder (OP)is responsible for accurately assigning ICD-10-CM and CPT diagnosis and procedure codes for outpatient services. This role ensures coded data is complete, compliant, and supports appropriate reimbursement, quality reporting, and regulatory requirements.100% REMOTEAt least 5 years of OP facility and/or profee coding experience, requiredAHIMA or AAPC certified Part-time hours, approximately 20EMR experience preferred: Athena
Start Date: Within 1 – 2 weeks
Per case pay rates Must complete and pass an OP coding assessment test and successfully code 10-15 charts.
Key Responsibilities:
  • Medical CodingReview complete outpatient medical records to accurately determine the principal and secondary diagnoses, procedures, and complications
  • Assign accurate ICD-10-CM and CPT codes for diagnoses and procedures
  • Accurately sequences diagnoses and procedures
  • Ensure documentation supports DRG/APC assignment and severity of illness (SOI) and risk of mortality (ROM)
  • Strive to obtain the optimal DRG assignments on each medical record coded with assistance of computer system
  • Query providers for clarification when documentation is incomplete, inconsistent, or unclear
  • Appropriately hold accounts when more information is required for accurate code/DRG assignment
  • Contact appropriate staff, leadership or medical staff as needed
  • Meet established productivity and accuracy benchmarks
  • Demonstrate a consistent level of productivity and performance
  • Achieve productivity standards for each assignment
  • Maintain a monthly coding accuracy and DRG accuracy rate of 95% or above
  • Collaborate with CDI, compliance, and billing teams to resolve coding issues
  • Participate in internal audits, external audits, and education initiatives
  • Works as a team member to meet department and client specific goals
  • Complete all assignments in conscientious and reliable manner
  • ComplianceEnsure compliance with the following:
  • AHA official coding guidelines, AMA CPT guidelines, UHDDS definitions, coding clinics
  • Standards of Ethical Coding set forth by AHIMA, AAPC and CMS and other regulatory standards
  • Client-specific coding guidelines, policies and procedures except when in conflict with official coding guidelines
  • Maintain confidentiality and comply with HIPAA regulations
Education & Training:
  • Regularly reviews coding literature to stay current on new or revised coding guidelines
  • Maintains appropriate certifications from AHIMA/AAPCExpresses interest in and pursues continuing education
  • Perform additional duties as assigned and assist with other tasks as requested.
  • Required Skills & Qualifications
Experience: Minimum of five (5) years of HIM and outpatient facility coding experience
Education: Associates degree preferred in Health Information Management, Healthcare Administration, other healthcare related fields, or Business Administration or Management, Bachelor’s degree preferred Candidates with significant relevant experience and demonstrated expertise may be considered in place of formal educational requirements.
Credentials/Certifications: CCS or CPC required Additional credentials preferred (RHIA, RHIT, CCS-P, CPMA, COC, CIC, CRC) Skills & Knowledge:
  • Advanced knowledge of medical terminology and pharmacology, ICD-10-CM, CPT, HCPCS, APCs, HCCs, HACsAdvanced knowledge of documentation standards and improvement methodologies
  • Knowledge and use of grouper and encoder systems, 3M/Nuance Clintegrity preferred
  • Knowledge and use of EMR’s, Epic/Powerchart preferred
  • Strong organizational, analytical and problem-solving abilities and techniques
  • Client relationship and management skills
  • Strong proficiency in Microsoft Office
  • Ability to work independently in a remote environment

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