Coder - Primary Care - Remote

Exceptional care starts with exceptional people.

For us, this is more than a job– it’s a calling. It’s waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way.

This job reviews and accurately codes and abstracts basic services, such as outpatient diagnostic testing, Emergency Department, Lab, Radiology, Minor Primary Care services and other less complex medical coding. Utilizes appropriate coding guidelines to assign ICD and CPT codes and conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Required
- High School diploma or equivalent

Preferred
- Completion of an American Health Information Management Association (AHIMA)/American Association of Professional Coders (AAPC) accredited coding program with certification.

Required - 1 year of coding experience OR an AHIMA/AAPC certification

• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Must have computer skills and dexterity required for data entry and retrieval of information.
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard.

• Accurately assigns ICD-10, CPT and/or HCPCS within the established coding guidelines, rules and regulations. Types of coding may include but not limited to, Professional coding for minor primary care, Urgent Care and/or Emergency Department episodes, including reviewing of evaluation and management codes and CPT procedure codes;
  Facility charging for E&M levels, CPT procedures and/or medication administration in the Emergency Department/Observation units;
  Hospital coding for diagnosis and/or CPT procedure coding of services performed in the emergency department or for lab, radiology and/or other diagnostic services.
• Ensures the data integrity of coded patient records by reviewing the medical documentation and validating that documentation is sufficient to support the assigned codes.
• Communicates with providers for clarification or requests additional documentation as needed.
• Works in collaboration with team members and other departments to meet departmental monthly goals which may include one or more of the following: DNFB, Pre-AR, Denials, and Claim Edits.
• Acts as a resource by researching patient accounts in response to questions and/or errors.
• Consistently complies with established department productivity and accuracy standards.
• Verifies correct discharge disposition based on medical documentation as needed.
• Other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable…