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Outpatient Coder - Advanced - 26242

Full Time
On-Site

Danbury, CT, USA

Remote Coder positions are available in all states EXCEPT CA and HI

Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations.

Purpose:Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines. Reviews coding and amends coding edits to assure compliance with all applicable regulations.

Essential Responsibilities

Codes all outpatient medical records in a timely and accurate manner according to department policy - ED (Emergency Department), Facilities, Injection & Infusion Outpatient Coding.
Defines and transforms verbal descriptions of diseases, injuries, and procedures into numerical designations (codes) using ICD-10-CM and CPT-4 according to established coding guidelines
Initiates a physician/department query when there is conflicting, incomplete, or ambiguous documentation in the record or additional information is needed for accurate coding
Enters all required information accurately into computer system for reimbursement and statistical purposes
Remains abreast of all applicable Federal, State, regulatory and hospital-specific coding guidelines
Applies applicable guidelines to all cases coded to ensure accuracy of selected codes
Accesses and research applicable reference materials to further support decision-making in code selection.
Participates in Performance Improvement/Quality Assurance activities
Reports on software and hardware problems
Attends required educational sessions (webinars, conferences etc.) to maintain and enhance coding certification(s)
Maintain and Model Nuvance Health Values
Demonstrates regular, reliable, and predictable attendance
Performs other duties as required
Education and Experience Requirements:

Associates degree or equivalent
4 years of coding experience in ED (Emergency Department), Facilities, Injection & Infusion Outpatient Coding.
Minimum Knowledge, Skills and Abilities Requirements:

Knowledge of ICD-10, CPT-4, Disease Pathology, Anatomy, Physiology and Medical Terminology
Advanced knowledge of Facilities, Emergency Department (ED) Coding guidelines
Basic familiarity with MS Office applications (Word, Excel. Outlook)
Usage of coding manuals and regulatory websites for research
License, Registration, or Certification Requirements:

Required: Certification from the America Academy Professional Coders (AAPC) or the American Health Information Management Association (AHIMA): CPC or CCS

 


Location: REMOTE-NY-KRN

Work Type: Full-Time

Standard Hours: 40.00

FTE: 1.000000

Work Schedule: Day 8

Work Shift: Day Shift. M-F 8 hours possible evening & weekends


Org Unit: 1853

Department: CODERS - PROFESSIONAL & FACILITY CHARGING and CODING

Exempt: No

Grade: S6

Salary Range: $20.23 - $37.56 Hourly

 


EOE, including disability/vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.

 

 

Company Description:

Health Quest and Western Connecticut Health Network have combined to form a new nonprofit health system. The name for the new health system will be Nuvance Health. The new health system was created to provide communities across New York’s Hudson Valley and western Connecticut with more convenient, accessible and affordable care.