Senior Coder - RCO Coding

Minimum Qualifications:

• Three years of multi-specialty coding experience.
• Proficient in coding Professional services, and/or Outpatient professional and hospital technical services.
• Experience with communicating, training, and educating providers in proficiency.

Preferred Qualifications:

• Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and abbreviations.
• Experience in Obstetrics and Women's Specialties in outpatient or clinic settings.

Certifications Required (one of the following):

• Certified Coding Associate (CCA - AHIMA)
• Certified Coding Specialist (CCS - AHIMA)
• Certified Coding Specialist - Physician Based (CCS-P - AHIMA)
• Registered Health Information Administrator (RHIA - AHIMA)
• Registered Health Information Technician (RHIT - AHIMA)
• Certified Inpatient Coder (CIC - AAPC)
• Certified Outpatient Coder (COC - AAPC)
• Certified Professional Coder (CPC - AAPC)
• Certified Professional Coder – Apprentice (CPC-A - AAPC)
• Certified Risk Adjustment Coder (CRC - AAPC)

Job Summary:

Properly codes and audits professional services for inpatient and/or hospital outpatient technical services across multiple specialties to ensure accuracy and optimal reimbursement from third-party payers.

Essential Functions:

• Review documentation in EPIC and paper records to assign ICD-10-CM, PCS and CPT codes.
• Communicate with education teams and providers for documentation clarification queries.
• Use encoder and Optum software for correct code assignment.
• Sequence diagnoses and procedures to generate clean claims per coding guidelines.
• Verify ADT information on charge sessions.
• Participate in coding education sessions.
• Obtain required CEUs and complete continuing education.
• Manage coding-related charge reviews and claim edits for timely billing.
• Maintain productivity and quality standards to adhere to compliance and federal regulations.
• Address charge reconciliation to ensure timely capture of all services provided.
• Adhere to internal controls and reporting structures.

Work Environment:

Standard office environment with remote flexibility following training. Occasional travel may be required. Standard office equipment used.

Equal Employment Opportunity employer committed to diversity and inclusion.