Outpatient Coder

JOB TITLE: Coder - Outpatient STATUS: Full-Time LOCATION: Riedman- Remote DEPARTMENT: Coding/Clinical Documentation SCHEDULE: M-F; 8:00 AM to 4:30 PM SUMMARY Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply these to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with the billing process, identify and report error patterns, and, when necessary, assist in the design and implementation of workflow changes to reduce billing errors. RESPONSIBILITIES Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines, and keeps abreast of coding changes and interpretation of codes. Performs detailed review of Inpatient record documentation to identify & assign diagnosis & procedure codes using ICD-10-CM and ICD-10-PCS. Meets established departmental productivity guidelines with 95% accuracy on a consistent basis. Utilizes Care Connect, UDS, and Clintegrity systems proficiently to obtain ICD10 codes and DRG assignment. Formulates compliant Physician Coding Queries when documentation is inadequate, ambiguous, or unclear for coding purposes. Corrects failed claim errors to billing edits, accounts misclassified a