Remote - Lead Clinic/Outpatient Coder

Location

Remote work is available for candidates residing in the following states: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia.

Responsibilities

• Serves as a coding resource to clinic and outpatient coders.
• Ensures the accuracy of clinical data collection from outpatient medical records.
• Codes diseases, procedures, and diagnoses using the ICD-10-CM and CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards.
• Completes complex coding assignments for the purpose of reimbursement, research, and compliance with Federal and State regulations.
• Assists manager in managerial duties such as payroll, coder assignments, and annual reviews.
• Provides feedback to coders and works with them to improve their quality, as necessary.
• Other duties as assigned.

Requirements

• High School Diploma (Required).
• Associate’s degree in a healthcare-related discipline (Preferred).
• 2 years of recent Clinic and/or Outpatient Coding experience with advanced knowledge of ICD-10-CM and CPT, Coding Guidelines, Coding Clinic, APC reimbursement, and extensive knowledge of complex disease processes (Required).

Qualifications

• Certified Coding Specialist (CCS) (Required upon hire), or
• Certified Professional Coder (CPC) (Required upon hire), or
• Certified Coding Specialist-Physician-based (CCS-P) (Required upon hire), or
• Certified Outpatient Coder (COC) (Required upon hire).
• Registered Health Information Administrator (RHIA) (Preferred upon hire), or
• Registered Health Information Technician (RHIT) (Preferred upon hire).
• Travel to off-site locations may be required.

Skills and Abilities

• Essential Technical/Motor Skills: Input and retrieve data, speaking clearly, precise hand-eye coordination, fine motor skills, and good writing skills.
• Detailed knowledge of medical terminology, pathophysiology, and coding guidelines.
• Interpersonal Skills: Must be courteous and work in a professional, caring manner with internal and external customers.
• Demonstrated ability to provide accurate coding advice to inpatient coding staff, PFS, and other entities as requested.
• Product development and continuous quality improvement knowledge and skills.
• Broad knowledge of insurance regulations and Medicare and Medicaid guidelines.
• Proficient in communicating clearly and effectively with multiple constituents.
• Proficient in negotiating complex systems to affect positive change.
• Proficient in computer usage, especially database and spreadsheet analysis.
• Must possess skills required to run a fiscally responsible program while ensuring constant improvement.
• Ability to analyze workload needs within the department and leverage caregivers’ skills with tasks to efficiently complete tasks.
• Knowledge of organizational policies and procedures; skill in identifying problems and recommending solutions.
• Skill in preparing and maintaining records and written reports.
• Skill in establishing and maintaining effective working relationships with physicians, hospital staff, and vendors.
• Ability to interpret, adapt, and apply guidelines and procedures.
• Ability to analyze complex clinical scenarios and apply critical thinking.
• Extensive knowledge of reimbursement systems.
• Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation and coding.
• Ability to take the lead in HIM projects with other departments, confidently speak to coding processes, and recommend solutions to issues.

Physical Requirements

• Essential Physical Requirements: Regularly required to sit, reach with hands and arms, stand, walk, climb, balance, stoop, kneel, or crouch.
• Essential Mental Abilities: Must be able to analyze and interpret complex information.
• Essential Sensory Requirements: Must be able to visualize/interpret patient records.

About Us

Mosaic Life Care is a healthcare system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality healthcare. Mosaic has a wide array of benefits to meet each employee’s individual needs, including concierge services, an employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics, and many more.

Benefits

Mosaic offers several perks with a focus on ensuring employees feel valued, including concierge services, an employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics, and many more.