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Inpatient coder • clearwater fl
Remote Outpatient Edits Coder – SDS, Observation, Wound Care, Interventional Radiology
AMN HealthcareLargo, Florida
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HCA Florida Largo West HospitalLargo, FL, USARemote Outpatient Edits Coder – SDS, Observation, Wound Care, Interventional Radiology
AMN HealthcareLargo, Florida- serp_jobs.job_card.full_time
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JOB DETAILS :
POSITION : Remote Outpatient Edits Coder – SDS, Observation, Wound Care, Interventional Radiology
DEPARTMENT : Health Information Management
START : ASAP OR 7 / 29 / 24
LOCATION : Remote
POSITION SUMMARY : Under general direction, the Outpatient Coder will code outpatient accounts such as coding related alerts / edits for SDC, OBV, and Wound Care, predominately post initial / final coding. The Outpatient Coder performs the alert / edit resolution activities in the applicable systems. The alerts / edits shall be worked and corrected according to the established procedures and thresholds and communicated as appropriate. This person will report to the HIM Coding Manager.
POSITION DUTIES :
Compiles daily work list from eRequest, CRT and / or other alert / edit systems
Takes action and resolves alerts / edits for the following patient types following established procedures and thresholds
- Same Day Surgery (SDC)
- Observation (OBV)
- Wound Care
- Outpatient Cardiac Cath
- Provides back up / coverage as needed for :
o Emergency Dept (ED)
o Recurring (RCR)
o Clinical (CLI)
o Provider Office Visit (POV), as applicable
Enters detailed notes to update eRequest to provide details if the alert / edit cannot be resolved or must be rerouted to another responsible party for research / resolution
Escalates alert / edit resolution issues as appropriate to minimize final billing delays
Monitors the aging of accounts held by an alert / edit, prioritizes aged accounts first, and reports to leadership
Works with team members in billing, revenue integrity and / or the Medicare Service Center to resolve alerts / edits
Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log)
Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient claims subject to the payment window)
Assists the Coding Leads and / or Coding Managers in resolving unbilled reason codes (URC) / Hold Reasons
As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS-II) duties
Periodically works with their Manager to review individual work accomplishments, discuss work problems / barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression
Adheres to all applicable coding and billing regulations and guidance, including but not limited to, CMS, AHA and HCA policies and guidelines
Meets all educational requirement as stated in Company and HSC policy
Reviews all official data quality standards, coding guidelines, Company policies and procedures and clinical / medical resources to assure coding knowledge and skills remain current
Practice and adhere to the Company’s Code of Conduct philosophy
Practice and adhere to the Company’s Mission and Values
Other duties as assigned
QUALIFICATIONS :
Coding Technical Skills – ICD-10-CM, CPT / HCPCS, and associated reimbursement knowledge.
Customer Orientation – establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
Policies and Procedures – articulates knowledge and understanding of organizational policies, procedures and systems.
Quality Orientation – accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
Building and Maintaining Strategic Working Relationships – develops collaborate relationships to facilitate the accomplishment of work goals. Possesses good interpersonal skills in building, negotiating, and maintaining crucial relationships.
Initiative – independently takes prompt proactive steps towards problem resolution.
Effective Decision Making – relating and comparing; securing relevant information and identifying key issues; committing to an action after developing courses of action that take into consideration resources, constraints, and organizational values.
Analytical Skills – effective evaluation, synthesis and use of information gathered.
Managing Conflict – dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.
Organization – establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task.
Communication - communicates clearly, proactively and concisely with all key stakeholders.
Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
Work Independently – is self-supporting; not needing to rely on others to complete a job.
PC Skills - demonstrates proficiency in Microsoft Office applications and others as required
POSITION REQUIREMENTS :
MINIMUM REQUIRED QUALIFICATIONS :
WORKING HOURS NEEDED :
COMPENSATION & BENEFITS :
REQUIREMENTS : BENEFITS :
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including :
FACILITY :