Outpatient Coder III (Pool)

Under the direction of the Coding Supervisor, Coder III is responsible for utilizing available encoder, grouper software, and other coding resources to determine the appropriate assignment of ICD-10-CM, CPT, and/or HCPCS codes, as appropriate, and abstract pertinent information from patient records. Must have extensive acute outpatient coding experience in multiple areas of specialty, such as, but not limited to: Emergency Room, Infusion and Injections, Observation hospital outpatient procedures, and as needed diagnostic and ancillary records and outpatient provider-based clinic visits. Position can be specialized in inpatient cases. Maintains coding productivity and quality benchmarks as prescribed by the Coding Policy and Procedure, as established for Valleywise Health System.

This position may be performed remotely for candidates residing in the following states: Alabama, Arizona, Florida, Georgia, Iowa, Kansas, Kentucky, Michigan, Mississippi, Missouri, Nevada, Oklahoma, South Carolina, Tennessee, Texas, Utah, and Wisconsin.

Hourly Pay Rate: $40.90

Qualifications

Education:

• Requires an Associate’s degree in Health Information Technology or a related field, or an equivalent combination of training and progressively responsible experience that results in the required specialized knowledge and ability to perform the assigned work in lieu of a degree.
• Bachelor’s degree is preferred.

Experience:

• Requires seven (7) years of acute care/or outpatient coding experience demonstrating an understanding of the required knowledge, skills, and abilities.
• Level I Trauma coding experience is preferred.
• Prior coding experience in a teaching hospital is preferred.
• Burn coding experience is preferred.

Specialized Training:

• Requires the ability to pass a coding exam, at or above 85% accuracy, prior to hire.
• Prefer training in 3M encoder and EPIC Electronic Health Record.

Certification/Licensure:

• Must have a current coding certification as a CCS, CCS-P, COC, or CPC, CIC.
• RHIT or RHIA certification and requisite coding experience are also accepted.

Knowledge, Skills, and Abilities:

• Must know of and be able to code all hospital/facility outpatient medical records, including, but not limited to: clinic visits, Emergency Medicine, Behavioral Health, Observation, Infusion and Injections, Claim Edits and Errors,, and Same Day Surgery, Series Accounts, and assist in State of Arizona tape edits.
• Must demonstrate application of ICD-10-CM, CPT, and HCPCS codes.
• Must achieve and maintain appropriate coding quality and productivity established in the Coding Department Policy and Procedure.
• Must have a strong understanding of how to use Microsoft Office products, electronic health records, and an encoder system.
• Must have analytical ability to interpret data, knowledge of anatomy and physiology, medical terminology, surgical terminology, pharmacological terminology, patient care documentation terminology, and HCC codes for PQRS RAF scores, as appropriate for outpatient coding.
• Must abide by the Standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA) and Certified Professional Coders Association.
• Must be able to communicate effectively and have excellent customer service skills.
• Requires the ability to work well independently and demonstrate independent decision-making abilities.
• Requires the ability to read, write, and speak effectively in English.