HB Outpatient Coder

Beyond Blue Job Posting

Title:

HB Outpatient Coder

Requisition Number: R
- Department Name:
Supervisor, HB Outpatient Coding

Work Location:

Remote-KY Grade Level: 7 Type of Position:
Regular Position Time Status:
Full time Shift: Days (United States of America)

Job Summary Responsible for coding outpatient hospital services to ensure accurate and timely claim submission. Applies ICD-10-CM, CPT, and HCPCS codes based on clinical documentation, adhering to payer and organizational guidelines. Ensures coding quality, compliance, and productivity to support revenue integrity.

• Assigned accurate diagnoses and procedures for outpatient encounters, including emergency room and office clinic procedures, based on clinical documentation, in compliance ICD-10-CM Official Coding Guidelines.
• Maintains consistent achievement of departmental productivity and quality standards.
• Utilizes encoder software efficiently to support accurate APC assignments.
• Reviews clinical documentation for accuracy and clarity and initiates providers queries to resolve discrepancies or obtain missing information.
• Resolves claim edits, addresses payer rejections to ensure timely and accurate reimbursement.
• Performs other duties as assigned.

• High school diploma or equivalent;
  Associate’s or Bachelor’s in HIM preferred.

• 2–3 years of outpatient coding experience.
• An equivalent combination of education and experience may be considered.
• All experience must be paid and in the same related field.
• Part‑time and PRN experience will be prorated based on hours worked per week.
• Volunteer work and internships for academic credit are not counted.

• RHIA Certification, CPMA, Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A), Certified Coding Associate (CCA), Certified Coding Specialist – Physician-based (CCS‑P), Registered Health Information Technician (RHIT), or equivalent required.

• A. Lifting, pushing, and/or pulling objects up to 50lbs:
  2. Occasional (< 10% of the time)
• B. Lifting, pushing, and/or pulling objects over 50lbs:
  1. Never
• C. Standing or walking with objects up to 10lbs:
  3. Intermittent (10% - 50% of the time)
• D. Standing or walking with objects up to 25lbs:
  2. Occasional (< 10% of the time)
• E. Sitting at the computer workstation for extended periods:
  3. Intermittent (10% - 50% of the time)
• F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:
  2. Occasional (< 10% of the time)
• G. Repetitive motion:
  3. Intermittent (10% - 50% of the time)
• H. Working at heights above 4 feet:
  1. Never
• I. Working in confined spaces:
  1. Never
• J. Risk of injuries from use of equipment on the job:
  2. Occasional (< 10% of the time)
• K. Job-related travel:
  2. Occasional (< 10% of the time)
• L. Loud noises:
  1. Never
• M. Temperature extremes:
  1. Never
• N. Hazardous chemicals and fumes including waste:
  2. Occasional (< 10% of the time)
• O. Radiation:
  1. Never
• P. Burns:
  1. Never
• Q. Cuts/Punctures:
  2. Occasional (< 10% of the time)
• R. Bloodborne/airborne pathogens:
  2. Occasional (< 10% of the time)
• S. Recombinant DNA or viral vectors:
  1. Never
• T. Combative/violent people:
  1. Never
• U. Animal handling (including carcasses):1. Never
• V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.

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