[Hiring] Outpatient Coder @University Medical Center of Southern Nevada

Role Description

Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services for UMC. Identifies and reports coding opportunities and recommendations for improvement. Monitors and reports trends and escalates discrepancies to management.

Qualifications

• Equivalent to graduation from high school
• Two (2) years of outpatient coding experience (physician's office, ambulatory surgery centers, emergency department, or multidisciplinary medical practice/group coding experience)
• Formal education in a related field may be substituted for experience on a year-to-year basis

Requirements

• Licensing/Certification Requirements:
  • 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 of:
  • Outpatient code sets including CPT, HCPCS, ICD10-CM/PCS
  • Medicare hospital and physician outpatient coding and reimbursement regulations
  • Current healthcare-based technology and Electronic Health Record (EHR) practices
  • Coding guidelines and departmental policies and procedures
  • Medical terminology, anatomy and physiology, disease process and minor surgical procedures
  • Laws, codes, rules and regulations governing area of assignment
  • Revenue cycle workflows (charges/charge master, code edits, auditing, denials management, and document improvement)
  • Department and hospital safety practices and procedures
  • Patient rights and age-specific patient care practices
  • Infection control policies and practices
  • Handling, storage, use and disposal of hazardous materials
  • Department and hospital emergency response policies and procedures
• Skill in:
  • Coding and maintaining department-specific quality standards
  • Reviewing and abstracting information
  • Data collection, manipulation and retrieval
  • Reviewing and checking documents for completeness and accuracy
  • Meeting strict productivity standards
  • Concentrating for long periods while dealing with distractions
  • Reporting inconsistencies and discrepancies with established standards and guidelines
  • Using 3M 360 or similar integrated encoder computer-assisted coding systems
  • Webex and running queries
  • Reviewing denials and preparing technical reports
  • Paying attention to detail and accuracy
  • Handling patient and organizational information confidentially
  • Using computers and related software applications
  • Communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds
  • Establishing and maintaining effective working relationships with all personnel
  • Efficient, effective and safe use of equipment
• Physical Requirements and Working Conditions:
  • Mobility to work in a typical office setting and use standard equipment
  • Sit and retain concentration for extended periods
  • Vision to read printed materials and VDT screens
  • Hearing and speech to communicate effectively in-person and over the telephone
  • Strength and agility to exert up to 20 pounds of force occasionally
  • Eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects

Benefits

• Employer-paid pension plan (Nevada PERS)
• Competitive salary & benefits package