Hospital Outpatient Coder [United States]

 

Job description

Join the fast-growing team at Infinx Healthcare, as we transform healthcare reimbursement and revenue cycle. For too long healthcare providers have struggled with healthcare payments, revenue leakage and reimbursements. This leads to less-than-ideal conditions for patient care and satisfaction. Our solutions and people remain focused on improving the revenue cycle continuum so that healthcare providers can take care of patients while we ensure they get paid. We work with the leading hospitals, health systems and physician groups across the country.

Good talent is the bedrock of our success. So, we treat our talent well, developing individual capabilities, kindling an entrepreneurial spirit, and ensuring that everyone has a rewarding and productive career here. That’s just part of our DNA. And it’s evidenced everywhere, from our fun and flexible work culture to our generous salaries, benefits packages, and defined career paths.

Working Hours Required 8:00 am - 5:00 pm (Mountain Time)

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Location: Remote

Summary Description:

Hospital Outpatient Coder is responsible for inputting charges through the careful review of charges associated with services performed by hospital providers. Must create claims accurately and review coding of the claims prior to claim submission. The position supports the company’s overall Operations by efficiently and effectively performing duties required for Revenue Cycle process and hospital outpatient coding. Responsible for reviewing and evaluating medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and HCPCS/CPT codes for outpatient services provided by the hospital. The specialist performs hospital outpatient coding across multiple entities and applies the appropriate coding guidelines and criteria for code and modifier selections. The specialist adheres to the Official CMS Coding Guidelines and Facility Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for charge entry. The specialist supports the company’s’ overall operational goals by efficiently and effectively providing account data needed for accurate and timely Revenue Cycle processing and billing.

Daily Responsibilities:

• Ensures physician’s charges are received in a timely manner
• Reviews schedule to ensure all charges are entered in EMR
• Strong customer service skills; answering client calls; prompt return and follow-up to all interactions; prompt response to requests for information, both internally and externally
• Expert ability to add specific data such as modifiers, payer specific information including authorizations criteria, CPT, and ICD-10 codes and date of injury (DOI)
• Knowledgeable to append modifiers based on payer specifics, insurances, and authorization requirements and referring physician’s unique attributes
• Understand and interpret the Correct Coding Initiative (CCI) and payer guidelines
• Perform Charge Entry for Hospitals
• Participate in coding audits
• Provide coding charge validation
• Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements
• Specialties Required: ED Facility, EM IP, EM IP Facility
• Perform other duties and functions as directed and/or requested

Skills and Education:

• High school diploma or GED certificate
• Associate or bachelor's degree (preferred)
• COC certification required
• Minimum 2 years of experience in healthcare billing and abstract coding
• DRG and PCS Coding experience
• Strong organizational skills
• Ability to multitask and work in fast paced environment
• Strong verbal and written communication skills
• Ability to work independently on assigned tasks as well as accept direction on given assignments
• Able to work collaboratively with administration and staff
• Keen attention to detail

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