Job Description
Moffitt Cancer Center in Tampa, FL is recruiting for HOSPITAL OUTPATIENT CODER . For Florida residents and other select states (AL, AZ, AR, FL, GA, ID, IN, IA, KS, LA, MS, MO, MT, NC, OH, OK, SC, SD, TN, TX, UT, VA, WY) this full-time remote position offers a remote work arrangement
Position Highlights:
The Hospital Outpatient Coder reviews, analyzes, and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinic Modification ("ICD- 10-CM"), Tenth Revision, Current Procedural Terminology ("CPT"), and Healthcare Common Procedure Coding ("HCPCS") coding. The Hospital Outpatient Coder promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. In addition, this position ensures compliance with established coding guidelines, federal regulations, and accreditation guidelines
Responsibilities:
• Determine the proper codes and modifiers for all billable services utilizing ICD-10-CM, CPT, and HCPCS code sets in accordance with coding compliant guidelines, federal regulations and accreditation guidelines.
• Analyzes and reviews medical record documentation in the medical record for the purpose of assigning diagnosis and CPT codes to the documentation submission to insurance payers.
• Codes for 100% of medical records/encounters for each assigned clinic or encounter type by following quality standards as outlined in the Productivity and Quality KPI Operational Guidelines - HIM Facility OP Coding
• Codes for 100% of medical records/encounters for each assigned clinic or encounter type daily following productivity standards as outlined in the Productivity and Quality KPI Operational Guidelines - HIM Facility OP Coding.
• Utilize time management to ensure that all codes are audited and correctly entered or added. All edits are resolved timely.
• Alert coding supervisor and manager of coding in identifying and analyzing problems or issues that prevent coding of encounters.
• Knowledge and expertise necessary to perform the query process to clarify and confirm clinic documentation.
• Maintain credentials/certification and education to stay current with all coding of ICD-10-CM and CPT codes and skills to accurately abstract and code medical records.
• All other duties as assigned
Credentials and Education:
• High School Diploma/GED
• Two (2) years health care outpatient coding experience with ICD-10-CM, CPT and HCPCS classification
systems for more than one outpatient specialty
Certifications Required: Must have one of the following certifications:
• (CCS) Certified Coding Specialist
• (CPC) Certified Professional Coder
• (CPMA) Certified Professional Medical Auditor
• (COC) Certified Outpatient Coder
• (CCS-P) Certified Coding Specialist - Physician
• (RHIT) Registered Health Information Technician
• (RHIA) Registered Health Information Administrator
• Any relevant certification not listed above but issued from a governing body listed below may be reviewed and considered by the business to satisfy this requirement
Additional Skills/ Specialized Training Required:
• Experience in coding hospital electronic medical records.
• Excellent communication and interpersonal skills.
• Experience with automated patient care and coding systems. (Cerner Electronic Health Record, OPTUM Enterprise Computer Assisted Coding, 3M encoder, Soarian financial billing system.)
• Competence with MS Office software (Word, Excel, Zoom and Outlook).
• Knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and CPT coding guidelines, Center for Medicare & Medicaid Services ("CMS") guidelines, American Health Information Management Association ("AHIMA") and American Academy of Professional Coders ("AAPC") code of ethics.
Position Highlights:
The Hospital Outpatient Coder reviews, analyzes, and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinic Modification ("ICD- 10-CM"), Tenth Revision, Current Procedural Terminology ("CPT"), and Healthcare Common Procedure Coding ("HCPCS") coding. The Hospital Outpatient Coder promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. In addition, this position ensures compliance with established coding guidelines, federal regulations, and accreditation guidelines
Responsibilities:
• Determine the proper codes and modifiers for all billable services utilizing ICD-10-CM, CPT, and HCPCS code sets in accordance with coding compliant guidelines, federal regulations and accreditation guidelines.
• Analyzes and reviews medical record documentation in the medical record for the purpose of assigning diagnosis and CPT codes to the documentation submission to insurance payers.
• Codes for 100% of medical records/encounters for each assigned clinic or encounter type by following quality standards as outlined in the Productivity and Quality KPI Operational Guidelines - HIM Facility OP Coding
• Codes for 100% of medical records/encounters for each assigned clinic or encounter type daily following productivity standards as outlined in the Productivity and Quality KPI Operational Guidelines - HIM Facility OP Coding.
• Utilize time management to ensure that all codes are audited and correctly entered or added. All edits are resolved timely.
• Alert coding supervisor and manager of coding in identifying and analyzing problems or issues that prevent coding of encounters.
• Knowledge and expertise necessary to perform the query process to clarify and confirm clinic documentation.
• Maintain credentials/certification and education to stay current with all coding of ICD-10-CM and CPT codes and skills to accurately abstract and code medical records.
• All other duties as assigned
Credentials and Education:
• High School Diploma/GED
• Two (2) years health care outpatient coding experience with ICD-10-CM, CPT and HCPCS classification
systems for more than one outpatient specialty
Certifications Required: Must have one of the following certifications:
• (CCS) Certified Coding Specialist
• (CPC) Certified Professional Coder
• (CPMA) Certified Professional Medical Auditor
• (COC) Certified Outpatient Coder
• (CCS-P) Certified Coding Specialist - Physician
• (RHIT) Registered Health Information Technician
• (RHIA) Registered Health Information Administrator
• Any relevant certification not listed above but issued from a governing body listed below may be reviewed and considered by the business to satisfy this requirement
Additional Skills/ Specialized Training Required:
• Experience in coding hospital electronic medical records.
• Excellent communication and interpersonal skills.
• Experience with automated patient care and coding systems. (Cerner Electronic Health Record, OPTUM Enterprise Computer Assisted Coding, 3M encoder, Soarian financial billing system.)
• Competence with MS Office software (Word, Excel, Zoom and Outlook).
• Knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and CPT coding guidelines, Center for Medicare & Medicaid Services ("CMS") guidelines, American Health Information Management Association ("AHIMA") and American Academy of Professional Coders ("AAPC") code of ethics.
💡 Quick Summary
Seeking a career-building opportunity? The HOSPITAL OUTPATIENT CODER position is now open for candidates interested in the Work from home Jobs sector. This role in Tampa offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Work from home Jobs is a plus.