Pre-Bill Outpatient Coder Specialist
About the position The Pre-Bill Outpatient Coder Specialist is responsible for editing and correcting patient accounts based on the 3M OCE/EAPG report. This role involves reviewing alerts against patient records, making accurate revisions to ensure correct claim generation, and documenting activities in the Allegra system. The specialist will also combine accounts according to payer requirements, contact healthcare professionals for necessary information, and maintain knowledge of coding systems and regulations. This position is fully remote and requires a commitment to personal and professional growth. Responsibilities • Edit and correct or coordinate the correction/review of edits generated on the 3M OCE/EAPG report. • Review alert against patient record to determine the appropriateness of corrections to patient's accounts. • Make revisions with attention to accuracy to ensure correct claim generation. • Document activities in a clean and concise manner in the Allegra system. • Responsible for the filing, security, confidentiality, retention and storage of all government and private documents. • Combine accounts according to payer requirements when appropriate. • Correctly identify when accounts are related or unrelated services by reviewing clinical data. • Contact physicians and other health care professionals to obtain needed information for correct assignment of CPT-4/HCPCS. • Maintain knowledge of HIPAA regulations and carry out job duties in compliance with these regulations. • Participate in department meetings and direct questions to management for clarification. • Identify and make recommendations for process improvements. • Maintain current knowledge of ICD-CM and CPT/HCPCS coding systems. • Attend educational seminars to satisfy continuing education requirements. • Participate in peer review activities to assess coding accuracy. Requirements • Certified Coding Specialist (CCS) credential for outpatient coding positions or Certified Coding Specialist-Physician based (CCS-P). • Completion of coding certificate program from recognized community college or significant coding experience. • Registered Health Information Technician (RHIT) with associate's degree in health information technology or Registered Health Information Administrator (RHIA) with bachelor's degree. • 3-5 years of recent acute care hospital outpatient coding experience. • Experience with the 3M OCE report or charge capture determination in a complex department. Nice-to-haves • Attention to detail and analytical skills for abstracting clinical data. • Ability to interpret regulatory and payer rules concerning coding. • Computer experience. Benefits • Paid Time Off programs. • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability. • Flexible Spending Accounts for eligible health care and dependent care expenses. • Family benefits such as adoption assistance and paid parental leave. • Defined contribution retirement plans with employer match. • Educational Assistance Program. Apply tot his job