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Coder I - Outpatient/Medical Necessity at Powers Health – Munster, Indiana

Powers Health
Munster, Indiana, 46321, United States
Posted on
Updated on

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About This Position

Powers Health is hiring a Coder I – Outpatient/Medical Necessity in our Health Information Department!

Remote

Alternating weekly schedule: flexible schedule to M-F 7:00 am – 3:30 pm

Job Description:

Based on documentation in the medical record, responsible for accurate ICD-10-CM, CPT and HCPCS code assignment in accordance to industry standards such as Official Coding Guidelines, CPT Assistant, and the National Correct Coding Initiative.

  • Reviews and analyzes outpatient documentation in the EMR and utilizes computerized-assisted coding software to accurately assign ICD-10-CM, CPT and HCPCS codes to appropriate diagnoses and procedures.
  • Maintains or exceeds minimum coding accuracy and productivity standards per unit procedure.
  • Possesses knowledge of Medicare medical necessity regulations, ABN, NCCI, OCE edits and proper modifier usage.
  • Works closely with physicians, physician support staff, internal and external customers as it relates to code assignment for reimbursement purposes.
  • Follows up timely on outstanding coding or requests to review coding in order to expedite billing and reimbursement.
  • Enters ED-related and drug administration charges. (Emergency Department Coding only)
  • Assists the Supervisor on implementing appropriate and efficient workflow processes. Provides feedback and identifies areas that need improvement.

Required Skills & Qualifications:

  • Minimum high school diploma; associate or bachelor degree preferred
  • Active AHIMA accreditation as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or eligible.
  • Successful completion of coding courses in anatomy, physiology, and medical terminology.
  • Thorough knowledge of ICD-10-CM, CPT, HCPCS coding and Official Coding Guidelines.
  • Minimum of two (2) years coding experience in the hospital outpatient setting preferred.
  • Knowledge of Medicare medical necessity regulations, ABN, NCCI, OCE, and proper modifier usage preferred.
  • Knowledge of injection and infusion coding preferred.
  • Must be detail-oriented.
  • Ability to multi-task, organize and prioritize work assignments.
  • Must be able to work independently with minimal direction, complete assignments timely and accurately.
  • Must have excellent verbal and written communication skills including the ability to effectively communicate clearly and concisely with internal and external customers.
  • Knowledge of Microsoft Office including Outlook, Word, Excel and SharePoint.
  • Epic EMR experience preferred.

Your Extraordinary Career Starts Here

We invite you to join our team of professionals where your unique talents will be well utilized in a work environment that promotes your further growth and development. In return for your valuable service and contributions, Powers Health offers a competitive wage and benefits package along with the necessary tools, resources, and mentoring opportunities to support your career advancement goals.

Our comprehensive benefits program includes, but is not limited to:

  • Medical, dental and vision coverage
  • Wellness program, including free screenings
  • Healthcare and Dependent Care Spending Accounts (HSA)
  • Retirement savings plan
  • Life insurance
  • Disability income protection
  • Employee Assistance Program (EAP)
  • Fitness center discount program
  • Tuition assistance and career development
  • Paid Time Off (PTO)
  • Reward and recognition programs

Join our team of healthcare professionals at Powers Health. Apply today!

Job Location

Munster, Indiana, 46321, United States

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