Outpatient Coder

🔥 12 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $20 - $29 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

👻 Ghost score 0%

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Rochester Regional Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

📚 Education

Healthcare • Healthcare Insurance • Education

Rochester Regional Health is an integrated health services organization serving the people of Western New York. It operates multiple hospitals and healthcare facilities, providing a wide range of healthcare services, including emergency care, primary care, specialty clinics, and urgent care. The organization is committed to medical education and research, offering training programs, residencies, and clinical trials. Rochester Regional Health focuses on comprehensive care with emphasis on treating patients respectfully and meeting their diverse medical needs across all stages of life.

📋 Description

• Review clinical documentation and diagnostic results to extract data and apply ICD-10-CM and ICD-10-PCS codes. • Apply reimbursement methodologies to assigned charts to optimize reimbursement and resolve regulatory edits. • Resolve billing-process error reports, identify error patterns, and assist with workflow changes to reduce billing errors. • Review inpatient record documentation to identify and assign diagnosis and procedure codes. • Meet departmental productivity guidelines with 95% accuracy. • Use Care Connect, UDS, and Clintegrity to obtain ICD-10 codes and DRG assignments. • Formulate compliant physician coding queries when documentation is inadequate, ambiguous, or unclear. • Correct failed claim errors, misclassified accounts, and other errors identified through auditing processes. • Assist physicians and clinical quality staff with documentation opportunities, coding reimbursement issues, and quality improvement review processes. • Adhere to AHIMA Standards of Ethical Coding and official coding guidelines; keep current with coding changes and code interpretation.

🎯 Requirements

• One of the following certifications is required: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder Hospital Based (CPC-H), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder Apprentice CPC-A, or a specialty coding certification. • Associate degree in Health Information Management is required. • Candidates with an Associate degree from an accredited American Health Information Management Association (AHIMA) are required to sit for the Registered Health Information Technician (RHIT) exam within 1 year of hire. • At least 2 years of progressive coding experience in a hospital or multi-specialty physician practice setting preferred. • Full CPC certification must be obtained within 24 months if employee holds CPC-A at time of hire. • For HOMECARE: Homecare Diagnosis Coding Specialist (HCS-D) certification required within 16 months of hire. • For the grandfather clause: 2 years of relevant work experience, one listed coding certification, and an Associate’s degree in Health Information Management are required for qualifying hires. • Ability to meet established departmental productivity guidelines with 95% accuracy. • Proficiency with Care Connect, UDS, and Clintegrity systems. • Knowledge of ICD-10-CM and ICD-10-PCS coding, DRG assignment, reimbursement methodologies, official coding guidelines, and AHIMA ethical coding standards. • Ability to work the stated M–F, 8:00 AM–4:30 PM schedule.

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