Outpatient Coder

Job Description

Position: Outpatient Coder

Location: Las Vegas, NV 89102

Job Type: Full-Time

Salary: $24.15 – $37.43 per hour

Key Responsibilities

Review and abstract medical record documentation to determine accurate and complete outpatient and professional service codes.

Assign CPT, HCPCS, and ICD-10-CM codes in accordance with current coding guidelines and reimbursement regulations.

Capture the physician's or clinician's work, skill, and medical decision-making (MDM).

Research coding questions and identify opportunities for improved coding accuracy and reimbursement.

Monitor coding trends, identify discrepancies, and escalate issues to management.

Review coding edits, denials, and documentation for completeness and accuracy.

Run and respond to coding queries when additional clarification is required.

Use 3M 360 or similar computer-assisted coding and encoder systems.

Maintain established departmental quality and productivity standards.

Prepare technical reports and assist with data collection, analysis, and retrieval.

Protect confidential patient and organizational information in accordance with applicable laws, regulations, and policies.

Maintain knowledge of revenue cycle workflows, including charges, charge master processes, code edits, auditing, denials management, and documentation improvement.

Communicate effectively with providers, staff, and other personnel regarding coding and documentation issues.

Required Qualifications

Education and Experience

High school diploma or equivalent.

Minimum of 2 years of documented outpatient professional coding experience, such as:

Physician office

Multidisciplinary medical practice

Orthopedics

Primary care

Interventional radiology

Emergency department

Hospitalist services

Ambulatory surgery center

Required Certification

Candidates must hold one or more of the following certifications or credentials:

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC)

Certified Outpatient Coder (COC)

Certified Coding Specialist – Physician-based (CCS-P)

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Knowledge, Skills & Abilities

The successful candidate should have knowledge of:

Outpatient coding and reimbursement regulations

CPT, HCPCS, and ICD-10-CM/PCS code sets

Medicare hospital and physician outpatient coding requirements

Current healthcare technology and Electronic Health Record (EHR) practices

Medical terminology, anatomy and physiology, disease processes, and minor surgical procedures

Coding guidelines and applicable laws, rules, regulations, and departmental policies

Revenue cycle workflows, including charge capture, coding edits, auditing, denials management, and documentation improvement

Strong skills in the following are required:

Medical record review and abstraction

Coding accuracy and quality assurance

Meeting established productivity standards

Identifying and reporting inconsistencies and discrepancies

Using encoder and computer-assisted coding systems, including 3M 360 or similar systems

Running coding queries

Reviewing denials

Data collection, manipulation, and retrieval

Preparing technical reports

Maintaining confidentiality of patient and organizational information

Using computers and standard office software

Effective verbal and written communication

Attention to detail and accuracy

Maintaining concentration for extended periods while working with distractions

Establishing effective working relationships with providers, staff, and other personnel

-TS\nCompany Description

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.

Full-time