Outpatient Senior Coder

To be part of the organization, employees should understand and share in the YNHHS Vision, support the Mission, and live the Values of integrity, patient-centered care, respect, accountability, and compassion.

Reporting to the Supervisor of Outpatient Coding, the OP Senior Coder supports the department as a subject matter expert, educator, QA reviewer, and focuses on accounts receivable management and oversight. The role involves problem solving, streamlining processes, mentoring team members, and preparing them for senior coder roles. Requires strong ICD-10, CPT, and PCS coding skills, QA review capability, education and mentorship, and ability to monitor and resolve issues using dashboards to manage accounts receivable.

Responsibilities include managing day-to-day outpatient coding AR activities, collaborating to resolve issues, monitoring coding capacity and volume, drafting compliant outpatient clinical queries, serving as subject matter expert, conducting QA reviews to identify and communicate errors/trends, coding all outpatient service lines maintaining high quality scores, career development including education sessions, mentoring colleagues, providing lead support as needed, coordinating with vendor relations, and performing special projects.

Education requires a bachelor's degree preferred in a health-related field, with coursework in anatomy, physiology, medical terminology, pathophysiology, and disease process. RHIT or RHIA preferred.

Experience requires 5+ years progressive outpatient coding experience, full proficiency in outpatient service lines including ancillary/radiology, ED/Observation, SDS, Oncology, infusion/injection coding, IR, and Cardiology, plus experience with Epic and 3M software, resolving coding claim edits, revenue cycle understanding, audit educator or coding support experience is strongly preferred.

Licensure requires coding credentials from AHIMA or AAPC (such as COC, CIC, CCS) or AHIMA's RHIA or RHIT. Specialized coding certifications helpful but not required.

Skills include extensive knowledge of outpatient coding service lines, official coding guidelines, workflows, ability to resolve claim edits, advanced Excel skills for tracking, trending, and reporting; ability to create dashboards, presentations and educational tools to ensure compliance and meet DNFB/DNFC targets.

Demonstrates professionalism, embraces educational opportunities, remains engaged with department goals and vision, and role models professional standards to encourage staff.