Outpatient Diagnostic Coder

Job title: Outpatient Diagnostic Coder

6+ month contract (strong possibly of extensions), Outpatient Diagnostic Coder, remote/work from home – 40/hours a week, not part-time

Job Purpose:

• Reviews, analyzes, and assigns codes based on appropriate coding guidelines and criteria for outpatient medical record documentation to include, but not limited to: medical, diagnostic and surgical documentation for assignment of the correct ICD-10-CM and /or CPT-4 HCPCS codes.
• Primary coding responsibility is all Diagnostic Charts - Diagnostic – mainly Imaging (X-ray, MRIs) and Therapies (PT, Speech, infusions) and some Same Day Surgeries, Observation, Emergency Department (ED), wound care, etc.

Responsibilities

• Assign diagnosis and surgical codes utilizing the 3M CAC 360 system to patient records using ICD-10- CM and CPT/HCPCS and any other designated coding classification system in accordance with the UHDDS coding guidelines.
• Assign procedural categories and modifiers as applicable.
• Assign appropriate discharge disposition as necessary.
• Maintain or exceed established coding accuracy and productivity standards.
• Ensure demographic information and documentation is congruent with scheduled or performed procedures.
• Evaluate assigned Coding work queue and work with the appropriate revenue cycle/hospital team to resolve accounts with the expected resolution timeframe.

Knowledge, Skills, Abilities:

• Knowledge of ICD-10-CM and CPT coding principles and guidelines.
• Knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system.
• Knowledge of reimbursement systems, as well as federal, state and payer-specific regulations and policies pertaining to medical documentations, billing and coding.
• Knowledge of Standards of Ethical Coding.
• Skill and ability to communicate effectively both orally and in writing.
• Skill and ability to research and analyze data, draw conclusions, and resolve issues.
• Skill and ability to read, interpret, and apply policies, procedures, laws, and regulations; read and interpret medical procedures and terminology; develop training materials; make group presentations; exercise independent judgment; and prepare reports and related documents.
• Skill and ability to maintain working relationships with physicians and other staff.
• Skill and ability to review the work of others and maintain confidentiality
• Skill and ability to communicate effectively both verbally and in-writing.
• Skill and ability to handle multiple priorities and deadlines.
• Ability to work as a member of a team.
• Skill and ability in Microsoft Office applications.

Qualifications

• One or more certifications required - RHIA, RHIT, CCS, CCA, CCS-P, CPC, CPC-H.

• Coding Certificate program (AHIMA accredited) preferred.

• Experience in coding at a multi-facility organization and remote coding experience is a plus.

• Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.

• Everforth Apex uses a virtual recruiter as part of the application process. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. You can reply STOP to cancel and HELP for help. You can access our privacy policy

Benefits

• Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide.

• Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

• UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.