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Form of workNashville General Hospital is hiring for an Outpatient Coder for Health Information Services as a full time job in Nashville, Tennessee.
As an Outpatient Coder, you will be coding and reviewing paper or electronic patient charts and physician notes for accuracy. Position will be Remote or Hybrid based on location of the candidate. Must be available to work 40 hours per week.
Responsibilities:
- Ensures full and efficient collection and processing of all information necessary for prompt and compliant billing and optimized reimbursement related to clinic and outpatient services.
- Reviews medical records timely to identify diagnoses and CPT procedures relative to the patient's encounter.
- Abstracts appropriate information from the medical record based on the guidelines provided by the hospital and after a thorough review of the medical record.
- Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the hospital.
- Daily reconciliation of coding to include prior day visits, claims processed and billing edits.
- Ensure all coding complies with the ethical coding standards/guidelines and regulatory requirements.
- Audit medical notes for accuracy in CPT, HCPCS, ICD-10 and appropriate use of modifiers, making recommendations to management for maintenance.
- Maintains strictest confidentiality; adheres to all Health Insurance Portability and Accountability Act (HIPAA) guidelines/regulations.
- Participate in ongoing coding education and support coding accuracy activities.
- All other duties as assigned.
Experience/Qualifications:
- Education: Certificate or Associate degree in medical coding or a related field required.
- License/Certification: Must possess one of the following AAPC/AHIMA certifications: Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
- Experience: Minimum of 3 years experience as an Outpatient Coder in a clinic, acute care, or academic teaching facility required.
- Proficiencies: Extensive knowledge of medical terminology, anatomy and physiology, pathophysiology, pathology and laboratory medicine, coding guidelines for ICD-10, CPT, Modifiers, etc.
- Knowledge of current and developing issues, trends in medical coding procedures requirements, and be able to research complex issues as needed.
- Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures, and documentation including CMS guidelines.
- Proficient computer skills using MS-Word, Excel, PowerPoint, Outlook, Electronic Medical Records (EMR) systems including Paragon, eClinical Works, Cerner, CareCloud, Computer Assisted Coding (CAC) and others.
- Serve as a knowledge resource and mentor on coding issues.
- Meet required productivity standards and maintain minimum accuracy rate.
- Must reside and be legal to work in the U.S.
Desired Qualities:
- Self-sufficient with strong analytical and research skills
- Responsible, responsive, and dependable
- Strong attention to detail
- Excellent written and oral communication skills
- Ability to meet deadlines
- Capacity to work effectively and collaboratively with other healthcare professionals
Technology Requirements
- Reliable high-speed internet service
- Home office or private, secure work area required
About Nashville General Hospital
Nashville General Hospital (NGH) is Nashville's original community- based hospital. Joint Commission accredited, NGH readily accommodates a wide range of needs from emergency services and acute care to ancillary and ambulatory services. NGH continues to maintain its strong commitment to the healthcare needs of Nashville and Davidson County underserved, while also providing care to all segments of the community.
Our benefits include:
- Medical, dental, and Vision Insurance within first 31 days of employment
- Programs to reduce share of deductible and total out-of-pocket expenses
- Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses (see NGH providers without co-pays)
- Short and Long-Term Disability - up to 60% of eligible weekly pay
- Life Insurance - Metro provides you with basic life and AD&D coverage equal to $50,000 ($32,500 if you are age 65 or older), at no cost to you.
- 401K Retirement Plan - eligible up to IRS max limits and includes company contribution
- Shift and Weekend Differential Pay Offered on Nights and Weekends
- Tuition Reimbursement for employee and dependents
- 12 paid holidays - any holiday worked is another holiday banked
- Flexible Spending Accounts
- Onsite Gym
- Free Parking for all employees
Join our team at Nashville General Hospital. Apply today!
