RIS - OUTPATIENT CODER II

Job Title Outpatient Coder Level II

Job Summary Oneida Health is actively searching for a skilled Revenue Integrity Outpatient Coder Level II to join our dynamic team. The successful candidate will play a crucial role in ensuring accurate and compliant coding of outpatient services, optimizing revenue capture, and maintaining regulatory compliance.

Key Responsibilities

• Review outpatient services (primarily surgical, emergency, oncology, and wound care) medical records to assign appropriate CPT, HCPCS, and ICD-10 codes.
• Ensure accuracy and completeness of coded information for billing and reimbursement purposes.
• Stay updated on coding guidelines, regulations, and compliance requirements related to outpatient services.
• Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies and obtain additional documentation if necessary.
• Work closely with the Revenue Integrity team to identify and address coding-related issues affecting revenue cycle performance.
• Provide feedback and education to clinical and administrative staff on coding and documentation best practices.
• Participate in coding audits and quality improvement initiatives.
• Keep abreast of changes in coding systems, reimbursement methodologies, and healthcare regulations.

Qualifications Experience:

• Minimum of 3 years of outpatient coding experience in a hospital setting, preferably with Meditech EHR.
• Thorough understanding of CPT, HCPCS, and ICD-10 coding systems.
• Knowledge of outpatient billing processes and reimbursement methodologies.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and collaboratively within a team.
• Proficient in using Meditech or similar electronic health record (EHR) systems.

Certifications

• AHIMA Certification required, Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) preferred.

Physical Requirements The role involves prolonged periods of sitting, extensive computer usage, and the ability to focus on detailed information for coding purposes.

Soft Skills

• Exceptional communication and interpersonal skills.
• Analytical mindset with strong problem-solving abilities.
• Collaboration and teamwork.
• Adaptability to evolving coding guidelines and regulations.
• Attention to detail and accuracy.
• Ability to provide constructive feedback and education.