Coding Specialist – Outpatient

Job not on LinkedIn

🔥 14 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 qualified healthcare provider services • Enter coded/abstracted information into 3M 360 Finder, assign accurate APC codes, and review coding edits • Follow NCCI edits and medical necessity requirements • Resolve accounts on claims edit databases and rejected accounts on Claims Edit Reports and eClinicalWorks error reports • Assign injection and infusion codes for observation patients • Assign E/M, ICD-10-CM, CPT, or chargemaster codes to clinic visits based on medical record documentation • Verify physician-entered diagnosis, ICD, and CPT codes for accuracy and documentation support • Report documentation insufficiencies to responsible physicians • Follow Rhode Island Hospital Facility Coding Guidelines and applicable Evaluation and Management Guidelines • Review outpatient uncoded reports and resolve old or inappropriate accounts • Update patient financial accounts in Patient Management and Patient Accounting systems • Follow procedures for rebilling accounts • Refer complex coding issues to the coding validator or supervisor • Maintain compliance with CMS regulations, NCCI edits, MAC guidance, payer policies, HIPAA, privacy and security policies • Participate in compliance initiatives to reduce coding-related denials and audit findings • Maintain at least 95% coding accuracy and meet productivity benchmarks • Perform related clerical duties and maintain relevant coding knowledge

🎯 Requirements

• High school diploma or equivalent required • One or more required certifications: 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 • Must 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

🏖️ Benefits

• Fully remote work arrangement • Secure systems and VPN/multi-factor authentication provided/required for remote work