Outpatient Infusion Coding Specialist in Coeur d'Alene, Idaho at Kootenai Health

Outpatient Infusion Coding Specialist

Job Code: 29363

Position Summary

An Outpatient Infusion Coding Specialist accurately assigns ICD-10-CM, CPT, and HCPCS codes for outpatient infusion services, focusing on diagnosis, drug administration (NDC codes), infusion/injection procedures, and modifiers, using EHRs and coding software to ensure compliance and proper billing for therapies like IV hydration, chemotherapy, and other injected medications in clinics or hospitals.

Responsibilities

• Codes Infusion and Injection Therapy Services assigning diagnoses (ICD-10-CM), procedures (CPT), drugs/supplies (HCPCS/NDC), and applies modifiers for infusion services

• Reviews assigned charges within the medical record to verify orders and procedures carried out

• Verifies accurate billing and identifies areas for improvement

• Ensures adherence to coding guidelines

• Monitors the status of unbilled reports, charges, and missing documents, correcting errors promptly

• Reviews, analyzes, and resolves coding-related denials for outpatient infusion services

• Reviews and requests charge corrections on patient accounts, making changes and account activity requests as appropriate

• Maintains knowledge and compliance with all current hospital and departmental policies

• Communicates to various departments when charges need adding, deleting, or changing and when discharge dispositions and patient type/status need clarifying

• Ensures compliance with department Charge Capture and any governmental coding regulations

• Participates in department performance improvement reviews and charge capture reviews

• Relies on experience and judgment to plan and accomplish goals

• Regular and predictable attendance is an essential job function

• Performs other related duties as assigned

• Competent to meet age-specific needs of the unit assigned

Requirements and Minimum Qualifications

• High school diploma or equivalent preferred

• Minimum 2 years coding or abstracting I & I charge experience required

• Previous experience with Epic and a working knowledge of Epic applications and workflows required

• Previous Meditech Expanse experience preferred

• Coding certification through AHIMA or AAPC required

• Strong computer skills including working knowledge of Excel and Word

• Ability to adapt quickly to new systems and tools

Working Conditions

• Must be able to lift and move up to 10lbs

• Must be able to maintain a sitting position

• Must be able to communicate and exchange accurate information

• Typical equipment used in an office job