Hospital Outpatient Coder

Hello, We Are ruralMED! Join our mission of supporting rural healthcare through collaboration focused on strategically tailored services, effective leadership, and industry-specific expertise. How This Role Makes an Impact:

• Support rural healthcare facilities to achieve excellence and thrive in ever-changing landscapes
• Work alongside a team of dedicated and driven experts passionate about supporting rural healthcare with revenue cycle expertise
• Apply problem-solving and critical thinking skills in the development of processes and workflows, enhancing efficiency and accuracy
• Ensure facilities achieve accurate and compliant coding, providing the highest quality of care to patients and communities

What It’s Like Working at ruralMED:

• Elite and highly skilled professionals driven by delivering superior results, always striving for new levels of excellence
• Flexibility and autonomy with a company that understands the true value and benefits of work-life balance
• Personal and professional growth opportunities are encouraged
• Employee engagement is used as a valuable tool for achieving excellence
• Learn more about our team: https://ruralrevcycle.com/join-our-team/

Title: Hospital Outpatient Coder Department: Revenue Cycle Reports To: Revenue Cycle Supervisor/Lead Medical Coder & Audit Specialist/CBO Site Manager Status: Full-time Position Summary: The Hospital Outpatient Coder, under general direction, is responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. They will ensure the timely and accurate coding of medical claims while maximizing reimbursement for services. Education and/or Experience:

• High School Diploma or GED - required | Associate Degree - preferred
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) - required
• Three to five years in emergency room coding, infusion coding, specialty clinic procedure coding - preferred | Two years’ experience with formal coding training - considered

Licenses/Certifications Required:

• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required.

General Requirements/Job Duties: Employee must have the skills, ability and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Specific job duties will vary based upon client assignment. Employee will also abide by ruralMED’s policies as a condition of employment. Charge Entry

• Receive and review charge entry data from practice sites
• Identify and investigate incomplete or missing charges

Coding:

• Abstract clinical information; translates medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems
• Sequence codes according to established guidelines
• Thorough analysis and interpretation of medical information, medical diagnoses, coding/classification systems, to ensure accuracy for prospective payment system reimbursement

Other:

• Maintain current knowledge of coding rules and regulations as designated by the AMA, Centers of Medicare and Medicaid Services (CMS) and other payers
• Maintain proficient knowledge of EHR, as well as any other systems to perform job duties
• Communicate issues to management, including payer, system, or escalated account issues
• Identify medical necessity denial trends and provide suggestions for resolution
• May perform other billing functions including claim submission, unpaid claims follow-up, denial resolution
• Participation in department meetings, in-service programs, and continuing education programs
• Convey professional attitude with patients, visitors, physicians, office staff and hospital personnel
• Assure confidentiality of patient information, maintaining compliance with policies and procedures
• Perform other duties as assigned

Required Knowledge, Skills and Abilities:

• Knowledge of medical terminology – required
• Critical Access Hospital and/or Rural Health Clinic coding is a plus
• Proficient with Microsoft Office
• Demonstrated strong verbal and written communication skills
• Ability to use multiple client systems and manage competing priorities
• Enthusiasm for a remote teamwork environment

Essential Work Environment & Physical Requirements: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Benefits:

• Employee assistance program
• Paid time off
• Retirement plan

Application Question(s):

• Do you have Critical Access Hospital Experience?
• Do you have Rural Health Clinic experience?

License/Certification:

• Certified Professional Coder (Required)
• Certified Coding Specialist (Required)

Work Location: Remote Apply To This Job