Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time.
The Clinic /Outpatient Coder II works under the guidance and supervision of the HIM Coding Manager. Expected to be proficient in coding the following assignments of ICD-10-CM and/or CPT codes for following types of services: Outpatient coder: Emergency Room, Injection and Infusion, non-complex outpatient surgeries, obstetric observation. Clinic coder: Coding multiple specialties, or non-complex surgical specialties.
Responsibilities
- Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, payer rules and policies, and Mosaic compliance standards.
- Assumes responsibility for professional development by participating in online educational sessions such as workshops, conferences and/or in-services and maintains appropriate records of participation.
- Communicates with providers, querying providers to ensure the highest level of specificity is provided in documentation.
- Caregiver may work in conjunction with Patient Financial Services, Revenue Integrity or other departments to verify and modify charges and coding to ensure accuracy of supporting documentation, payer rules and correct coding.
- Ensures data accuracy of State HIDI data and other claims by responding to edits received.
- May perform specialty care claims rejections or denials.
- May assist in training newly hired coders.
- Performs other duties as assigned.
Education
- H.S. Diploma - Medical Terminology and Anatomy and Physiology - Required
- Must have coding education - Required
Work Experience
- 2 Years - Coding experience - Required
- 3 Years - Coding experience in lieu of coding education - Required
Licenses and Certifications
- Certified Coding Specialist (CCS) - Required Upon Hire Or
- Registered Health Information Administrator (RHIA) - Required Upon Hire Or
- Registered Health Information Technician (RHIT) - Required Upon Hire Or
- Certified Professional Coder (CPC) - Required Upon Hire Or
- Certified Coding Specialist-Physician-based (CCS-P) - Required Upon Hire Or
- Certified Outpatient Coder (COC) - Required Upon Hire
- Epic Certifications - Must pass Epic Healthcare Assessment within 5 business days of - Required Upon Hire
Travel Requirements
Qualifications
Skills and Abilities
Essential Technical/Motor Skills
- Input and retrieve data, speaking clearly, precise hand\eye coordination, fine motor skills and good writing skills.
- Detailed knowledge of medical terminology, pathophysiology, coding guidelines.
Interpersonal Skills
- Must be courteous
- Work in a professional, caring manner with internal and external customers
- Have the ability to work with interruptions, and flexibility in hours and workflow, foster teamwork and promote service and quality in everything.
Essential Physical Requirements
- Regularly required to sit, reach with hands and arms, stand, walk, climb, balance, stoop, kneel, or crouch.
Essential Mental Abilities
- Must interpret data from chart, analyze encoder instructions, understand what physician is trying to convey and concentrate for long time periods.
Essential Sensory Requirements
- Must be able to visualize/interpret patient record.
Exposure to Hazards
Other Skills and Abilities
Company
High school diploma, medical terminology and anatomy/physiology knowledge, coding education or 3 years’ coding experience, 2 years’ coding experience, listed coding credential, and Epic assessment completion.
Key Responsibilities
- coding diagnoses
- querying providers
- verifying charges
Skills & Tools
ICD-10-CM, CPT, Epic, CMS
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — Alabama or Colorado or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Minnesota or Missouri or Mississippi or Nebraska or North Carolina or Oklahoma or Texas or Utah or Virginia
- Languages: English
About Mosaic Health System
A healthcare system providing high-value, quality care while prioritizing patients’ holistic needs. — Industry: Healthcare