Outpatient Coding Auditor

Summary

The job is for a part-time Outpatient Coding Consultant who will review clinical information, assign codes, and comply with coding guidelines. The position is remote and may progress to full-time based on client needs.

Requirements

• Completion of a formal coding program
• Minimum of five years’ coding work experience; two years of coding-review experience and coder education experience
• Experience encompassing working knowledge of the ICD-10-CM and CPT coding systems; medical terminology; anatomy and physiology; and health record content
• Fluent coding in multiple types of records: outpatient (ER, diagnostic, injections/infusions or observations) and ambulatory surgery
• Must have Windows 11 and high-speed internet

Responsibilities

• Reviews relevant clinical information from the health record with a focus on correct coding assignment
• Identifies the principal and secondary diagnoses based on the Outpatient Coding Guidelines
• Assigns ICD-10-cm codes to the first-listed and secondary diagnoses
• Identifies procedures-based Outpatient Coding Guidelines
• Validates facility-assigned ICD-10-cm diagnosis codes and CPT procedure codes
• Complies with the Clinical Coding Initiative (CCI) edits when assigning CPT-4 codes
• Performs coding reviews in an efficient and productive manner, utilizing good time management and professional work habits. Meets productivity standards for position
• Refers coding questions to a manager or manager's designee in a timely manner for feedback and coding guideline development
• Continually enhances coding skills. Participates in team meetings and educational conferences to ensure coding practice remains current
• Maintains confidentiality and safeguards the privacy of protected health information (PHI)
• Promotes the Company’s values
• Performs other job related duties as may be assigned or required

Preferred Qualifications

Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or other AHIMA or AAPC approved coding credential