Hospital and ProFee Outpatient  and Inpatient Coder

• Reviews patient charts, documents for verification and review code assignment in accordance with official coding guidelines.
• Ensures codes are sequenced according to government and insurance regulations.
• Abstracts and enters the coded data for hospital statistical and reporting requirements.
• Researches and analyzes data needs for reimbursement.
• Researches, analyzes and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.
• Maintains 95% coding accuracy rate and maintains site designated productivity standards.
• Coding for other areas of the team such as inpatient or professional services as needed.

Proven high quality skills in accurately sequencing and assigning:

• Recognized coding credential from AHIMA or AAPC; and RHIA or RHIT may also be considered.
• Coding Certifications; preferred (CPC and/or CCS).
• 3-5+ years of work experience as a Medical Coder in both facility and professional coding setting required.
• Preferred setting experience in coding for Acute Care Hospitals, Critical Access Hospitals, Clinics, Rural Health Clinics, Federally Qualified Healthcare Centres.
• Excels at organizing and prioritizing workload and deadlines with high quality and accuracy.
• Proficient computer skills and working with coding software.
• Excellent written and verbal communication skills.
• ICD-10-CM codes.
• HCPCS/CPT codes (Level I and II)
• Correctly and compliantly append modifiers.
• Experience in coding multiple outpatient services: Emergency Department, Observation Services, Same Day Surgery, Ancillary Diagnostic and Therapeutic Services, PT/OT/SLP, etc.
• Strong injection and infusion coding skills.
• Compliant query writing utilizing the AHIMA/ACIDS published 2022 guidelines.
• Strong awareness of HIPAA compliance