Rapid In &Out Coding Specialist 

Work Hours/Shift:

• Full Time: Mon - Fri - Remote 

• Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist.  Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate timely clinical documentation.
• Applies ICD-9 codes, ICD-10 codes, APC codes, modifiers, physician codes, and revenue codes to outpatient encounters
• Utilizes thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, CPT Assistant, National Correct Coding Initiative edits, National Coverage Policies and Local Coverage Policies
• Ensures all tests performed meet medical necessity according to local and national policies
• Uses critical thinking and sound judgment in decision making; keeping reimbursement considerations in balance with regulatory compliance

Qualifications

What Will You Need:        

EDUCATION AND EXPERIENCE REQUIRED:

• Experienced level with at least 3-5 years of CPT coding experience

PREFERRED EDUCATION AND EXPERIENCE:

• Five years surgical coding experience in an acute care hospital.  At least one-two years of coding education including formal education in anatomy, physiology and medical terminology.
• Comprehensive experience with cases that require a more complex level of coding

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:

• RHIA, RHIT, CPC or CCS certification or credentials

The Rapid In & Out Coder is responsible for reviewing, analyzing and interpreting clinical documentation contained in the medical record applying appropriate ICD9, ICD-10 and CPT codes conventions and requirements of Medicare Prospective Payment System.  Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

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