Certified Outpatient Medical Coder (REMOTE) Job at PSN Affiliates, Irving, TX

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  • PSN Affiliates
  • Irving, TX

Job Description

POSITION: CERTIFIED OUTPATIENT MEDICAL CODER (possible REMOTE- Work From Home)
HOME OFFICE LOCATION: Irving, TX (zip 75063)

POSITION SUMMARY:

Responsible for translating healthcare providers’ diagnostic and procedural phrases into coded form. Reviews and analyzes health records daily to ensure correct coding.

POSITION RESPONSIBILITIES:

  • Analyzes provider documentation to assure the appropriate ICD-10 Diagnosis codes, CPT/HCPCs Codes, and ICD-10 PCS Codes are assigned accurately based on medical documentation.
  • Evaluates the calculated DRG for accuracy.
  • Assists billing staff establish the medical necessity of charges, claims, and clearinghouse edits.
  • Provides feedback to the clinical staff on coding issues and reviewing denials.
  • Provides training to each provider regarding errors identified and corrected.
  • Obtains necessary clarification of information on the notes and charts by physician query.
  • Provides weekly trending reports by provider to COO or designated administrator; regarding coding errors, coding changes, missing information from charts, etc.
  • Ensures that all medical records have been signed by the appropriate parties
  • Evaluates medical records for documentation consistency and adequacy.
  • Reviews appropriate medical codes to all diagnoses or services.
  • Enters and organizes the codes into management software.
  • Reviews records for compliance with established third party reimbursement agencies and special screening criteria.
  • Assists in coding denials and providing other billing resolutions as needed.
  • Completes coding projects as needed.
  • Attends various meetings and professional development programs as required.
  • Billing and assisting with claims submission as needed.
  • Other duties as assigned.

OTHER RESPONSIBILITIES:

  • Completes required orientation as directed by facility

  • Follows facility and OSHA safety rules and procedures while on assignment

  • Follows facility Unusual Occurrence Protocol

  • Respects cultural and religious practices of patients

  • Upholds HIPAA regulations

  • Punctual and dependent for assigned/confirmed shifts

POSITION REEQUIREMENTS:

  • Knowledge of the ICD-10 CM/PCS, and CPT-/HCPCS universal coding systems
  • Knowledge of DRG systems
  • Knowledge of coding and clinic operating policies
  • Must be efficient, organized, and have the ability to set priorities and meet deadlines.
  • Knowledge of insurance carrier coding requirements to ensure proper coding based on License and specialty
  • Strong computer skills in MS Office/Windows (Word and Excel required).
  • Knowledge of Medical terminology
  • Strong communication and organizational skills (written and verbal), ability to work across functions with customers (both internal & external)
  • Knowledge of third party billing procedures across a variety of payer systems
  • Ability to prioritize workload proactively and expeditiously.
  • Detail-oriented and highly organized.
  • Knowledge of billing and financial concepts
  • Works well in an environment with firm deadlines; results oriented
  • Perform multiple tasks effectively
  • Able to work both independently and as part of a team
  • Strong analytical skills required
  • Capable of making timely, independent decisions
  • Ability to identify and maintain confidential material.
  • High School Diploma or GED required.
  • RHIT, RHIA, CCS, or CIC certification Required.
  • Strong Facility coding knowledge and experience.
PSN Affiliates

Job Tags

Work from home, Home office, Shift work,

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