BACK OFFICE OPERATOR

Outpatient Facility Coder Location:

Remote (US Wide)

Experience Required:

• Minimum of 1 Coding Certification from AHIMA or AAPC; RHIA, RHIT, CPC, CCS,COC

• 3 years Coder work experience

• 2 years of Oncology coding experience.

• EPIC/3M 360 CAC/coderyte Codeassist experience

• experience in diagnostic Profee coding. This includes knowledge of CPT, ICD-10, LCD/NCD and CCI experience.

• Understanding of how to apply modifiers correctly, global packages, and have teaching hospital experience.

• Experience in abstracting documentation to apply to proper diagnosis codes.

• The ability to utilize their resources for coding purposes. 3M Coderyte Codeassist and EPIC experience. CTs, MRIs, Ultrasounds, Mammos, biopsies, xrays and Nuclear Med are among the diagnostic radiology procedures this coder will be reviewing and coding.

SUMMARY Analyzes medical records and abstracts clinical data by assigning codes from patient records in accordance to coding classification systems. Reviews patient encounters for accurate code assignment of all relevant diagnosis and procedures. Enters appropriate codes into the hospital's mainframe computer for the transfer of data to billing files for reimbursement. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Serves as a resource for other departments users related to the abstracted coded data.

Key Functions:

1. Analyzes medical records and abstract clinical data by assigning codes (ICD10, CPT, HCPCS) from patient records in accordance with coding classification systems.

2. Reviews patient encounters for accurate code assignment of all relevant diagnoses and procedures. Exports appropriate codes from CodeRyte and/or Epic charge systems.

3. Assign appropriate modifiers, and apply guidelines as indicated through the Limited Coverage Diagnosis (LCD), as well as the National Correct Coding Initiative (CCI).

4. Meet or exceed department production and accuracy standards.

5. Maintains coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, AAPC/AHIMA seminars, and other educational forums.

6. Queries physicians and/or departments when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.

7. Resolves coding edits in Epic by performing second review of medical record documentation and code assignments. 8. Must be flexible and adapt to changing work assignments.

9. Must exercise good judgment in making decisions in regard to coding and/or auditing outcomes.

10. Possess a thorough knowledge and understanding of institutional coding policies and procedures; maintains knowledge of ICD-10-CM, HCPCS and CPT-4 coding guidelines according to CMS, AMA, AHA and other official sources.

11. Other duties as assigned Prior Hospital Oncology Coding experience