Professional fee OP E/M and surgical coder

Job Locations US-Remote
Req No
2019-5496
Category
Production Coding
Type
Temporary Full-Time

Overview

We are looking for qualified Outpatient SDS Coder with facility and profee experience 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! 

Responsibilities

Under supervision, codes all diagnostic and operative information from the medical record using ICD-10-CM, CPT and HCPCS coding classification systems. Verifies and abstracts all medical data from the record to complete a data abstract on encounters in the following settings: Emergency Department (ED), Hospital Observation (HOPS), Hospital Ambulatory (HAS), Hospital Outpatient (HOV).Corrects data as appropriate. Ensures that all data abstracted and coded are consistent with ICD-10-CM Official Guidelines for Coding and
Reporting, as well as those guidelines outlined by CPT, CPT Assistant, CMS, UHDDS, JCAHO, NCQA, OSHPD,

Ensures timely record completion by meeting coding and abstracting productivity/quality standards. Participates in medical record documentation auditing to monitor physician compliance with regulator requirements i.e., Physician Review Project in concert with appropriate managers. May provide physician review and education based on review findings. Quality Standards Measured bi-weekly and reported in 4-week increments: Average weekly between 85 - 90 simple HOV charts/day Average weekly between 85 – 90 ED charts/day Average weekly between 35 – 45 Ambulatory Surgery & complex HOV charts/day Average weekly between 10 12 Edit Correction charts/hour Based on audits of 20 or more charts per year: 95% DRG/APCs 95% principal diagnosis 98% discharge disposition.

Qualifications

Minimum Qualifications:

  •  Must have completed an accredited coding program or have at minimum one year of continuous coding/abstracting experience within the last five years
  • A passing score on the coding test for an Outpatient/Ambulatory Coder.
  • Successfully passing the coding test is required regardless of experience.
  • Demonstrated knowledge of anatomy and physiology, medical terminology, disease processes, basic knowledge of reimbursement methodologies (DRGs, APCs) and conventions, rules, guidelines for current coding classifications (ICD-10-CM, CPT, HCPCS Level II)
  • Demonstrated ability to understand the clinical contents of a health record.
  • Demonstrated ability to communicate with physicians in order to clarify diagnoses/procedures and properly sequence them for coding.
  • Must be able to meet quantity and quality standards.
  • Must maintain minimum CE hours. Must maintain a minimum of ten (10) CE hours annually. Must maintain current coding credential. Will abide by the AHIMA coding code of ethics.

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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