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Outpatient Coder

Prospect Medical Holdings, Inc.

Under general supervision of the Coding Manager and according to established procedures, this role is responsible for assigning diagnoses and procedures for outpatient surgical and other services.

The coder interprets clinical and diagnostic documentation and assigns appropriate ICD-10-CM and/or CPT codes, modifiers, ED facility levels, infusions/injections, and other charges as appropriate while adhering to official coding guidelines.

Additional responsibilities include abstracting required data into the hospital information system and ensuring records are coded accurately and in a timely manner.

The position is based in an office or suitable home-office environment and may include work on weekends or holidays if necessary. Remote coding is available with a signed telecommuting agreement.

Requirements & Qualifications

Education

  • High school diploma or equivalent required.

Licensure / Certification

  • Medical coding certification and training in medical terminology from an accredited program preferred.
  • Recognized programs include AHIMA and AAPC.
  • Must complete and pass a certification program within one year of hire.
  • CCS or CCS-P certification preferred.

Experience

  • Two years of hospital outpatient coding experience or related work experience preferred.
  • Strong knowledge of ICD-CM, CPT coding, and CCI edits.
  • Knowledge of third-party payer requirements and federal/state coding and billing regulations.

Skills

  • Self-starter with the ability to work in a deadline-oriented environment.
  • Working knowledge of computerized abstracting systems and automated encoding systems.
  • Strong knowledge of medical terminology, anatomy, and physiology.
  • Proficient with Microsoft applications, encoder software, and Meditech preferred.

Location

Rhode Island, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

2 weeks ago

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