The Health Information Management Coding Specialist Outpatient provides timely and accurate clinical and administration data to ensure optimal reimbursement for facility outpatient, ambulatory surgery, observation, recurring accounts to support the facility coding needs. This may include coverage on some Rehab or Skilled Care accounts. Primary patient contact is only social.
Demonstrates excellent customer service consistent with Covenant HealthCare's Vision, Mission and Values.
Responsibilities:
- Contribute to patient satisfaction targets.
- Collaborate effectively with the HIM department, physicians, external customers, patients, and other staff.
- Adhere to outpatient coding rules, APC assignment, CCI edits to ensure coding quality based on documentation.
- May code skilled care or rehab services involving CMG assignment and IRFPAI completion.
- Follow policies and guidelines to maintain consistent coding quality utilizing analytical skills for chart review and code application.
- Complete coding timely and maintain work queues efficiently, assist others as needed.
- Participate in department and area-specific meetings.
- Assist departmental and AR goals.
- Work with external vendors/customers on audits or projects as required.
- Identify solutions and help resolve issues.
- Support lean initiatives to improve coding efficiency and reduce accounts receivable.
- Share knowledge during training and serve as resource for new staff.
- Pursue ongoing personal and professional growth; stay current on coding updates including Coding Clinics.
- Utilize multiple references for technical and clinical decision making.
- Maintain professional credentials.
- Assist Finance, Data, Patient Safety, Quality, and others as requested for coding-related follow-up.
- Comply with HIPAA and other legal/confidentiality requirements.
- Participate in department and workgroup goal development and attainment.
- Perform additional duties such as denial analysis, writing appeal letters, quality reviews, mentoring, and software testing.
- Help develop or maintain guidelines, procedures, or policies.
Qualifications:
- RHIA, RHIT, or CCS credential required. Eligible Bachelor or Associate Degree graduates considered with the expectation to pass the national exam.
- Acute care outpatient coding experience preferred, familiar with ICD-10-CM, CPT-4, NCCI edits, modifiers.
- Knowledge of clinical documentation for outpatient coding preferred.
- Basic computer and software skills including EMR, email, internet, encoder, Vital Ware, Lawson, Excel.
- Able to work under stress and deadlines.
- Strong communication, organizational, problem-solving, and interpersonal skills.
- Ability to apply sound judgment based on guidelines, statutes, regulations, and policies.
- Physical ability to sit for long periods and perform typical office movements.
Working Conditions:
- Regular attendance as per ADA, FMLA, and other regulations.
- Mostly sedentary with frequent sitting, hand use, hearing, vision requirements.
- Occasional standing, walking, lifting up to 50 lbs, and other physical activities as needed.
RHIA, RHIT, or CCS credential required; eligible graduates expected to pass the national exam Preferred experience in acute care outpatient coding using ICD-10-CM, CPT-4, NCCI edits, modifiers Knowledge of clinical documentation for outpatient coding preferred Basic computer skills including EMR, encoder software, MS Office Ability to work under stress, meet deadlines, and manage interruptions Strong communication and interpersonal skills Good organizational and problem-solving skills Ability to exercise sound judgment according to guidelines and policies Physical ability to sit for long periods and perform typical office tasks
Location
Michigan, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago