Role Description
This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. This position requires advanced coding experience in highly specialized areas of coding and requires certification with AAPC or AHIMA.
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Coding at 95% or above accuracy.
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Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases.
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Work assigned charge sessions in assigned EPIC charge router work queues.
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Assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for facility and/or professional charges.
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Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
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Coordinate patient encounter billing information and ensure that all information is complete and accurate before submission.
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Enter coding and billing information into EPIC.
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Resolve with billing any issues, coding denial requests, or questions as part of the coding denial process.
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Review clinical documentation of services to be coded in EPIC and any other source of documentation available.
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Establish and maintain procedures and other controls necessary in carrying out all coding and billing activity.
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Maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned.
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Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department.
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Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
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Monitor coding and billing information from CMS guidelines, Professional licensing organizations, and internal communication memos.
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Make recommendations to coding leadership and implement remedial actions for problems.
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Attend coding meetings and seminars and share knowledge with other coders.
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Participate in Enterprise Coding education sessions, Kaizen events, and maintain CEUs.
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Other duties as assigned.
Qualifications
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High school diploma or GED.
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Minimum of 4 years professional or hospital experience reviewing, abstracting, coding in ICD 10 CM or ICD 10 PCS, or CPT.
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Certification in one of the following coding certifications from AAPC or AHIMA:
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Registered Health Information Administrator (RHIA)
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Registered Health Information Technician (RHIT)
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Certified Coding Specialist (CCS) through AHIMA
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Certified Professional Coder (CPC) through AAPC
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OR equivalent certification.
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Active AHIMA membership may be required for some positions.
Preferred Qualifications
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Accredited Coding Program, Associates or Bachelor Degree; Specialized Coding Credential.
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Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines.
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Experience using an EMR.
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Some college coursework or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
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Experience using EPIC, 3M encoder.
Benefits
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Healthcare for full-time employees covered 100% and 88% for dependents.
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$50K of term life insurance provided at no cost to the employee.
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Two separate above market pension plans to choose from.
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Vacation - up to 200 hours per year dependent on length of service.
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Sick Leave - up to 96 hours per year.
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9 paid holidays per year.
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Substantial Tri-Met and C-Tran discounts.
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Employee Assistance Program.
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Childcare service discounts.
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Tuition reimbursement.
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Employee discounts to local and major businesses.
Company Description
We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions, and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply.
To request reasonable accommodation, contact [email protected].