Coding Specialist – Outpatient

Job not on LinkedIn

🔥 16 hours ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $24 - $40 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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Brown Medicine

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1995

🏥 Healthcare

📚 Education

🔬 Science

Healthcare • Education • Science

Brown Medicine is a medical practice group that has joined Brown Health Medical Group, providing integrated outpatient and specialty care across a network of providers under a single electronic health record. It offers patient-facing services such as primary and specialty care, televisits, and online patient portals (transitioning to MyChart), as well as administrative and billing support, and is affiliated with Brown University Health and the Warren Alpert Medical School.

📋 Description

• Review, interpret, and assign ICD-10-CM, CPT, and HCPCS Level II codes for physician and other qualified healthcare provider services • Enter coded/abstracted information into 3M 360 Finder and assign accurate APC codes • Review and resolve coding edits, including National Correct Code Initiative (NCCI) edits and medical necessity requirements • Assign injection and infusion codes for observation patients • Meet minimum productivity standards and maintain an average accuracy rating of 95% • Assign E/M, ICD-10-CM, CPT, and chargemaster codes to clinic visits • Verify provider-entered diagnosis, ICD, and CPT codes against medical record documentation • Report documentation insufficiencies to responsible physicians • Follow Rhode Island Hospital Facility Coding Guidelines and Evaluation and Management Guidelines • Monitor and resolve rejected accounts and eClinicalWorks error reports • Research coding conflicts involving chargemaster, medical necessity, and billing issues • Refer complex coding issues to the coding validator or supervisor • Review and resolve outpatient uncoded accounts and inappropriate charges • Update patient financial accounts in billing systems and follow rebilling procedures • Maintain compliance with CMS regulations, NCCI edits, MAC guidance, payer policies, HIPAA, privacy and security policies • Participate in compliance initiatives to reduce denials and audit findings • Perform related clerical duties and maintain relevant coding knowledge

🎯 Requirements

• High school diploma or equivalent required • One or more of the following required: CPC (Certified Professional Coder) – AAPC; CCS or CCS-P (Certified Coding Specialist / Physician-based) – AHIMA • 1–3+ years of professional (physician-based) coding experience • Specialty experience a plus • Strong knowledge of ICD-10-CM, CPT, and HCPCS Level II coding guidelines • Knowledge of medical terminology, anatomy, and healthcare documentation • Ability to interpret complex medical documentation and apply coding guidelines accurately • Strong written and verbal communication skills • Proficiency with electronic health records (EHR); Epic experience preferred • E/M coding and/or surgical/procedural coding • Must maintain a secure, private workspace to protect PHI • Required to use organization-approved secure systems (VPN, multi-factor authentication) • Ability to meet deadlines while achieving productivity and accuracy standards • Ability to work independently within departmental policies and practices