Certified Medical Coder Specialist

Summary

The Certified Facility Coder I performs a thorough review of medical record documentation to accurately assign diagnosis and procedure codes, ensuring proper financial reimbursement from insurance companies and government agencies.

The Coder I maintains responsibility for the validation and accurate flow of medical information and patient data between physicians, patients, and third-party payers. By utilizing the 3M encoder system to assign and appropriately sequence diagnostic and procedure codes and calculate the corresponding APC grouper, and abstracting patient information into the Epic computerized medical record, and billing systems. The Coder I ensures the accuracy and integrity of the medical record data abstracted, prior to finalizing the encounter.

The Outpatient Coder I codes Facility and Clinic Outpatient accounts, and if not already experienced, will eventually code Emergency Department accounts.

All coding shall be performed in compliance with Official Coding Guidelines, Centers for Medicare and Medicaid Services (CMS) regulations, Arizona state laws and regulations, as well as any other regulatory agency.

The Coder I shall maintain quality and productivity standards established for the department and work under close supervision of the coding team to learn routine coding functions pertaining to medium to high complexity medical records.

Job Requirements:

1. Possession of a national certification in health information management coding from the American Health Information Management Association (AHIMA), as a Certified Coding Specialist (CCS) is required for the Outpatient Coder I.

2. Understanding of guidelines for the sequencing of diagnosis and procedure codes for appropriate APC classification systems.

3. Knowledge of and the ability to appropriately apply Official Coding Guidelines, AHA Coding Clinic, AMA CPT Assistant and any other Federal and State regulatory guidance.

4. Strong knowledge of anatomy, physiology, pathophysiology, pharmacology and medical terminology to accurately translate medical record documentation into the appropriate classification system for reporting purposes

5. Experience in computerized encoding and abstracting software

6. Maintain accuracy at or above department and industry standards of 95%.

7. Maintain productivity at or above department standards set forth for the classification of accounts coded

8. For Outpatient Coder I; Minimum of 2 years coding outpatient records in an acute care setting

9. Ability to multi-task and work independently

10. Ability to efficiently complete work assignments and interact with coding leadership to review and discuss documentation, coding and reimbursement issues

11. Remote position requires maintenance of a wired internet connection and technology proficiency, including the ability to navigate common business applications and communicate/troubleshoot minor connectivity and software-related issues with IT support.

Minimum Requirements:

REQUIRED: High School Education

REQUIRED: Certified Coding Specialist (CCS)

PREFERRED: Certified Professional Coder (CPC)

PREFERRED: Certified Outpatient Coder (COC)

PREFERRED: Certified Risk Coder (CRC)

Candidates must reside in one of the following states to qualify for remote work with Yuma Regional Medical Center:

Alabama, Arizona, Florida, NC, SC, Oregon, South Dakota, Tennessee, Utah, Alaska, Texas, Maryland, Kentucky, PA, Illinois, Michigan, Oklahoma, Georgia, Nebraska

Job Type: Full-time

Pay: $22.00 - $29.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• ICD-10: 1 year (Preferred)

Work Location: Remote