Outpatient Coder Ambulance
Trinity Health Mid-Atlantic

Employment Type:
Part time
Shift:
Day Shift

Description:
Saint Francis Hospital, a member of Trinity Health Mid-Atlantic, is looking for an experienced Part-time Outpatient Coder to join our team!

Location:
This position will be fully remote!

Schedule: Part-time flex day shift (32 hours/week), Monday - Friday / No weekends or holidays!

This person analyzes physician/provider documentation contained in assigned Routine Outpatient (RO) health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses and any procedures. Utilizes encoder software applications, which includes all applicable online tools and references) in the assignment of ICD diagnosis and procedure codes.

Assigns appropriate code(s) by utilizing coding guidelines established by:
- The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting
- American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification
- American Medical Association (AMA) CPT Assistant for CPT codes
- American Health Information Management Association (AHIMA) Standards of Ethical Coding
- Revenue Excellence/RHM Organization coding policies
Additional Responsibilities include, but not limited to:

• Adheres to Trinity Health and RHM confidentiality requirements as they relate to the release of any individual or aggregate patient information.
• Competently navigates the patient health record and other computer systems/sources in determination of appropriate diagnoses and procedures.
• Codes Routine Outpatient health records (utilizing encoder software and online tools and references in the assignment of codes).
• Consults reference materials to facilitate code assignment.
• Validates charges by comparing charges with health record documentation as necessary.
• Understands appropriate link of diagnosis to procedure when applicable. Appends modifier(s) to procedure or service code when applicable.
• Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtained from the health record.
• Consults with CDI, physicians, or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous information.
• Collaborates with Regional Shared Services (HIM and Patient Financial Services) in resolving billing and utilization issues affecting reimbursement. Interprets bundling and unbundling guidelines (NCCI). Interprets LCDs/NCDs and payer policies.
• Tracks issues (i.e., missing documentation or charges) that require follow-up to facilitate coding in a timely fashion.
• Investigates claims denials and/or appeals as directed. Consistently meets or exceeds coding quality and productivity standards established by Revenue Excellence.
• Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. Identifies concerns and responsible for providing resolution of moderate to complex problems.
• Notifies appropriate leadership for resolution when appropriate. Performs other duties as assigned by Leadership.
• Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Minimum Qualifications:

• Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associates degree in Health Information Management or a related field or an equivalent combination of years of education and experience is preferred.
• Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technologist (RHIT), or Registered Health Information Administrator (RHIA) is required.
• One (1) year of current coding experience is required preferably in the outpatient hospital setting. Current experience doing remote coding is a plus.
• Current experience utilizing encoding/grouping software or CAC is preferred.
• Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred.
• Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation.
• Ability to use other software as required to perform the essential functions on the job.
• Familiarity with distance learning or using web-based training tools desirable. Well-developed communication skills, both written and oral, that may be used either on-site or in virtual working environments.
• Able to communicate effectively with individuals and groups representing diverse perspectives. Ability to work with minimal supervision and exercise independent judgment
• Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge.
• Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions. Ability to change and be flexible with work priorities.
• Must be comfortable functioning in a virtual, collaborative, shared leadership environment.

We offer a competitive salary and comprehensive benefits including:

• Medical, Dental, & Vision Coverage
• Retirement Savings Program
• Paid Time Off
• Tuition Reimbursement
• Free Parking
• And more!

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

This job has expired.