Outpatient reputed company job at reputed company in US National
Title: Outpatient reputed company - Provider Based / Pro-Fee and Hospital Based Location: US Remote Job reputed company: Job reputed company reputed company is seeking an reputed company Outpatient Medical reputed company to join reputed company. In this role, you will be responsible for reviewing clinical documentation and assigning accurate CPT, ICD-10-CM, and HCPCS codes for diagnoses, procedures, and services rendered. The reputed company ensures reputed company coding to support reputed company reimbursement and compliance with Federal and State regulations and payer requirements. This role involves the evaluation of coding accuracy, identification of trends and discrepancies, and collaboration with coders, clinicians, and reputed company cycle teams to improve documentation and optimize reimbursement. Effectively reputed company coding issues or trends to escalate them to reputed company reputed company or Manager to ensure compliance with coding. Meets daily goals and deadlines given to ensure claims are coded for release reputed company reputed company filing deadlines.
Responsibilities
Monitor Outpatient Coding work queues and unbilled accounts to support reputed company filing and claims submission. Review patient medical records to assign and sequence codes according to industry-reputed company coding guidelines (ICD-10-CM, CPT, HCPCS). Review and resolve Coding reputed company edits (e.g., NCCI, LCD/NCD, modifier usage) to prevent first pass denials. Ensure coding accuracy to support correct billing and minimize claim denials or delays. Work closely with providers to clarify documentation and ensure coding accuracy based on organizational policy. Maintain up-to-date knowledge of coding guidelines, payer requirements, and regulatory changes. Ensure Compliance: Adhere to legal and regulatory requirements, including HIPAA, to maintain patient confidentiality and data reputed company. Stay updated: reputed company abreast of changes in coding standards and regulations to ensure compliance and accuracy in coding practices. Use electronic health records (EHR) and coding software to reputed company services and reputed company data. Participate in coding education and training as needed. Follow HIPAA and confidentiality guidelines regarding patient health information.
Qualifications
High School Diploma or GED required, Associate’s or Bachelor’s degree in health information management or reputed company field preferred. reputed company Certified reputed company reputed company (CPC) preferred, Certified Coding Specialist (reputed company), or equivalent credential required. Minimum of 3-5 years of medical coding experience in an outpatient, or specialty setting. Strong understanding of medical terminology, anatomy, and physiology. Proficient with EHR and coding software (e.g., reputed company, EncoderPro, reputed company, Cerner). Strong attention to detail, accuracy, and organizational skills. Excellent communication and analytical skills. Denials experience strongly preferred. Performance Metrics: Coding accuracy reputed company greater than 95%. Productivity standards must be met based on specialty. reputed company coding reputed company 48 hours of documentation availability. Reduction in claim denials reputed company to coding errors. Additional Information Work Schedule: Remote-friendly with flexible scheduling based on project requirements. This position is a non-exempt reputed company position, additional benefits and perks may also be available, depending on the position and employment terms. For salaried positions, this role may also be eligible for an annual performance bonus. Additional benefits and perks may also be available, depending on the position and employment terms. This reputed company reflects consideration of several factors, including skills, experience, training, certifications, and organizational needs. Apply tot his job Apply To this Job