RIS - OUTPATIENT CODER II

Job Title:

Outpatient Coder Level II

Job Summary:

Oneida Health is actively searching for a skilled Revenue Integrity Outpatient Coder Level II to join our dynamic team. The successful candidate will play a crucial role in ensuring accurate and compliant coding of outpatient services, optimizing revenue capture, and maintaining regulatory compliance.

Key Responsibilities:

• Review outpatient services (primarily surgical, emergency, oncology, and wound care) medical records to assign appropriate CPT, HCPCS, and ICD-10 codes.
• Ensure accuracy and completeness of coded information for billing and reimbursement purposes.
• Stay updated on coding guidelines, regulations, and compliance requirements related to outpatient services.
• Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies and obtain additional documentation if necessary.
• Work closely with the Revenue Integrity team to identify and address coding-related issues affecting revenue cycle performance.
• Provide feedback and education to clinical and administrative staff on coding and documentation best practices.
• Participate in coding audits and quality improvement initiatives.
• Keep abreast of changes in coding systems, reimbursement methodologies, and healthcare regulations.

Experience:

• Minimum of 3 years of outpatient coding experience in a hospital setting, preferably with Meditech EHR.
• Thorough understanding of CPT, HCPCS, and ICD-10 coding systems.
• Knowledge of outpatient billing processes and reimbursement methodologies.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and collaboratively within a team.
• Proficient in using Meditech or similar electronic health record (EHR) systems.

Certifications:

• AHIMA Certification required, Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) preferred.

Physical Requirements:

The role involves prolonged periods of sitting, extensive computer usage, and the ability to focus on detailed information for coding purposes.

Soft Skills:

• Exceptional communication and interpersonal skills.
• Analytical mindset with strong problem-solving abilities.
• Collaboration and teamwork.
• Adaptability to evolving coding guidelines and regulations.
• Attention to detail and accuracy.
• Ability to provide constructive feedback and education.