• Outpatient Profee Coder

    Job Locations US-DC
    Req No
    2018-4740
    Type
    Regular Full-Time
  • Overview

    We are looking for qualified Outpatient Professional Services Coder (Professional Fee, Profee) to join our team.

     
    Stability & Reputation – Founded in 2004, Peak Health Solutions delivers a superior set of solutions to hospitals that are some of the largest and most prestigious in the country. Peak recognizes coding isn't a project it is a Career! Keeping our coders consistently engaged is the #1 reason coders stay with Peak.

     

    Rare opportunity –This is a unique opportunity to work for some of the nation's top hospitals, you will be a full time employee working 100% remotely from your location while receiving full company benefits.  We offer online training and career advancement opportunities. Due to our diverse customer base, a background working with a wide variety of specialties will be required.

     

    Compensation and Benefits – Peak Health Solutions offers competitive compensation and a benefits package that includes: Benefits, Paid Time Off, 401k with match and CEU reimbursement.

    Employee Recognition – Employees will also participate in our company-wide rewards program entitled Reach – Recognizing Excellence, Accomplishments, Character and Hard work! 

     

    Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.

    Responsibilities

    • Thorough knowledge of E&M, ICD-10-CM, and CPT4 coding systems
    • Required to follow all coding guidelines
    • Required to follow all client specific guidelines and client specific policies & procedures
    • Required to keep up to date on all coding updates
    • Must maintain 95% or above accuracy level
    • Must maintain client/Peak productivity standards

    1.1 Mandatory knowledge and skills.

    1.1.1 Position requires excellent computer/communication skills for provider and staff interactions.

    1.1.2 Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.

    1.1.3 Candidate must have ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.

    1.2 Education/Certification. The following are recognized certifications:

    1.2.1 Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) CCS-P (Certified Coder Specialist Physician (CCS-P) with the appropriate level of experience.

    1.2.2 An accrediting institution recognized by the American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) must accredit education.

    1.2.2.1 CONTINUED EDUCATION REQUIREMENTS: Contract medical coders will obtain the required continued education hours at no expense to the government in order to maintain current and proper national certification(s) required for the position.

     

    1.3 Experience. A minimum of three year experience in the outpatient setting (physician’s office or ambulatory surgery centers) within the last five years, including assignment of E&M, CPT, and HCPCS codes. Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience. Additionally, coding, auditing and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor. Two years of outpatient/ambulatory surgery experience may be qualifying if received in a military medical facility.

    1.4 Work Environment/Physical Requirements. The work is primarily sedentary. Requirements may include prolonged walking, standing, sitting or bending. Carrying or lifting of medical records may be required daily. Use of one or more computer programs and monitors may be required daily.

    Qualifications

    • 2 years coding Outpatient pro-fee experience in the client specific specialty 
    • ICD-10 Trained
    • Additional background with Inpatient Professional Fee preferred
    • Must hold and maintain a current certification credentialed through either the AAPC or AHIMA

    Peak Health Solutions, an AMN Healthcare company, is an EEO/AA/Disability/Protected Veteran Employer We encourage minority and female applicants to apply

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