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Medical Coding Specialist – Outpatient (per diem)
Sauk Prairie Healthcare

Location: Prairie du Sac, Wisconsin
Work Setting: Ambulatory Care, Hospital, Other
Job Function:
Coder, Other
Job Type:
Part-Time

Introduction

Sauk Prairie Healthcare includes a 36-bed, not-for-profit (501c3) acute care hospital, wellness center and two surgical specialty practices located in Prairie du Sac, Wis., plus four primary care clinics in Mazomanie, Plain, Spring Green and Lodi. We set the standard for patient excellence, patient safety and overall quality with this connected, community-based network of primary and specialty services.

Multiple-time winner of the Advisory Board’s Workplace of the Year Award and Press Ganey’s Guardian of Excellence Award for Patient Experience and Clinical Quality, Sauk Prairie Healthcare employs experienced healthcare professionals in a local, hometown setting. Our Birth Center, Joint Health Center, general surgery program, orthopedics program, emergency department, family medicine and urology program are just a few of the services we offer to our community.

Over 700 people work for Sauk Prairie Healthcare and are dedicated to making a difference in the lives of the patients we serve. We support them through manageable work and patient loads for our staff and the support of a close-knit, multi-disciplinary team. Our people know that no matter how good your care is, it will always be better when you really do care. This commitment to providing excellence in care, one person at a time, has earned us distinctions in patient experience and quality.

Job Description

Do You Belong Here?

 

We are seeking a Medical Coding Specialist – Outpatient (per diem, remote position for WI resident) that reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis.

Per diem roles work as needed to cover absences and high work volumes.  Those in a per diem role are expected to be available for a minimum of 3 shifts per month.  This role could generally work up to 12 hours per week, based on organizational need.  Per diem work hours are flexible and can be worked based on individual availability (after the training period).

Technical Responsibilities:

  • Assigns codes for ambulatory outpatient services using International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding protocols, for facility and professional services.  Includes professional code entry for Emergency Room and Urgent Care providers.
  • Audits the electronic medical record for accuracy of patient information, insurance information, appropriate diagnosis, and procedure codes to ensure accurate documentation for billing and reimbursement.,
  • Reviews and resolves National Correct Coding Initiatives (NCCI) and Outpatient Code Editor (OCEedits).
  • Communicates with clinical department directors and medical billing staff to clarify coding guidelines and resolve claim edits.
  • Identifies and communicates missed revenue opportunities to ambulatory departments.  Works with business analyst to create new charge codes, as needed.
  • As assigned, investigates denied claims from insurance carriers and appeals timely to ensure accurate reimbursement.
  • Abstracts pertinent information from patient records using hospital information system.
  • Queries physicians as needed to provide clarification on documentation or code assignment.
  • Identifies coding concerns or trends.  As needed, involves Revenue Cycle leadership to assist with resolution.
  • Provides education on coding changes.
  • Attends continuing education programs and reviews other educational resources to keep current on any changes pertaining to this position and for coding re-certification.
  • Assists with developing policies and procedures related to coding.
  • Assists in training new employees and job shadowing.
  • Performs other related work assignments as required.

Required Qualifications

  • Minimum of two years of coding experience in an acute care, surgical and/or outpatient setting (as this is a per diem position, prior experience is required).
  • Licenses/Certifications:

Must obtain credentials through the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) in any of the following certifications within six months of date of hire and maintain such credential thereafter:

  • Registered Health Information Technician (RHIT) or Administrator (RHIA)
  • Certified Coding Associate (CCA)
  • Certified Coding Specialist (CCS)
  • Certified Professional Coder – Hospital (CPC-H)
  • Certified Professional Coder (CPC)
  • Certified Inpatient Coder (CIC)
  • Certified Outpatient Coder (COC)

Knowledge/Skills and Abilities:

  • Experience with coding concepts.
  • Understanding of ICD diagnosis and procedure coding.
  • Knowledge of anatomy, physiology, medical terminology, and disease processes.
  • Knowledge of and experience with the electronic medical record and billing systems required.
  • Possesses computer skills, both keyboarding and applications.
  • Knowledge of and experience with healthcare information coding systems, MS-Office Suite (Word, Excel, PowerPoint), paper and electronic clinical documentation development and management.
  • Experience with encoder software is beneficial.
  • Ability to learn and to adapt to hospital-specific applications and upgrades.
  • Skills in understanding, explaining, and teaching are important in educating healthcare providers and other staff involved with the coding and documentation process.

Preferred Qualifications

Candidates with two (2) years of coding experience.

Prior outpatient surgery coding and ambulatory coding experience.

Education Qualifications

Required: Successful completion of a professional American Health Information Management (AHIMA) or American Academy of Professional Coders (AAPC) recognized coding course and/or an Associate degree in a healthcare related program

Preferred: Associates degree in a healthcare related program

Compensation/Benefits

Per diem employees are eligible to participation in our 403(b) retirement plan that matches up to 5%.

Instructions for Resume Submission

Apply online through the Sauk Prairie Healthcare Careers page (select “Medical Coding Specialist – Outpatient”)

Apply Online: https://secure6.entertimeonline.com/ta/6011132.careers?CareersSearch

Posted: March 4, 2024 at 5:36 PM
Post ID: 85610

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