Outpatient Acute Care Coder - Emergency

About the role

This is a full‑time remote position reporting to the Coding Operations Manager. Candidates must reside in one of the following states: Arkansas, California, Kentucky, Massachusetts, Nevada, New Mexico, Oregon, Utah, Tennessee, Texas, Wyoming.

Responsibilities

• Assign appropriate diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, ICD-10-PCS, CPT, HCPCS or any other designated coding classification system in accordance with coding rules and regulations.
• Abide by the Standards of Ethical Coding as set forth by AHIMA.
• Review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance.
• Match outpatient coding area to experience (e.g., Same Day Surgery, Routine Outpatient, Physician, Recurring, Observation, etc.).
• Review encounters to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
• Using 3M encoder, review Ambulatory Payment Classifications (APC) and coding edits.
• Review Local/National Coverage Determination (LCD/NCD) edits and guidance for codes meeting medical necessity.
• Research electronic medical record for any additional diagnoses documented to meet medical necessity.
• Ability to assign Physician E/M levels and charges for all relevant procedures performed in various settings, if applicable.
• Ability to assign injections and infusions, if applicable.

Qualifications

• One to three years’ experience performing medical record coding in an acute care setting required.
• High school diploma or equivalent is required.
• Associate or bachelor’s degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed preferred.
• Years of coding experience will be considered in lieu of educational requirements.
• Associate degree preferred.
• 1 year of Acute