Reports to the Coding Manager and reviews outpatient clinical documentation to extract data and assign appropriate ICD-10-CM and CPT codes in accordance with official coding guidelines.
Uses 3M 360 Finder for code assignment and resolution of claim edits, including CCI, NCD, and OCE edits. Confers with physicians for clarification as needed, monitors outpatient uncoded reports to support timely coding and billing, and maintains quality and productivity standards.
Enters coded/abstracted information into 3M 360 Finder, assigns APCs, resolves coding edits, handles rejected accounts, updates patient financial accounts as needed, and follows established rebilling procedures. Performs related clerical duties and maintains job-specific knowledge.
High school diploma or equivalent.
Successful completion of a formal coding educational program.
Ability to read and understand outpatient clinic medical record documentation for reporting outpatient clinic, ancillary, and endoscopy services.
Coding certification required from AHIMA or AAPC.
1 to 2 years of experience in outpatient coding or billing.
Ability to meet and maintain established quality and productivity standards.
Ability to work independently within departmental policies and practices.
Location
Rhode Island, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago