Outpatient Coder

Outpatient Coder in NASHVILLE, TN

Schedule: Full Time

Ardent is looking for Outpatient Coders! These positions can be located in Tulsa OK, Albuquerque NM or Amarillo, TX. There are are also opportunities for remote Coders!

Ardent Health Services (AHS) is a national healthcare company headquartered in Nashville, TN. Our subsidiaries own and operate hospitals and multispecialty physician practices in seven states. Ardent includes 21 hospitals, 3,578 patient beds, over 19,000 employees, and close to 600 employed physicians. Within the industry, we are noted for recognizing that every hospital is as unique as the community it serves. This in-depth understanding of how health care works at the local level is one of our great strengths. Ardent's corporate office in Nashville, TN was recently recognized by The Tennessean as a 2017 Top Workplace in Middle Tennessee.

The Outpatient Coder will bring to the table the technical abilities to perform facility coding for outpatient surgery, emergency department (ED), specialty clinic (such as wound care) and observation. To achieve appropriate and timely reimbursement and data integrity the Outpatient Coder must ensure accurate and compliant application of correct coding principles for hospital outpatient surgery, ED, specialty clinic and/or observation services.

The Outpatient Coder is responsible for the following duties:

  • Assigning ICD-9-CM and/or ICD-10 diagnosis codes; HCPCS/CPT codes; and modifiers
  • Maintains at least a 95% accuracy rate.
  • Maintains average productivity based on Ardent Shared Coding Productivity Standards
  • Abstracting of facility required data in McKesson Star.
  • Working applicable SMART and McKesson Pre-Bill Edits and Receivable Work Station (RWS) requests.
  • Follow up on missing documentation, including the generation of appropriate queries, as needed.
  • Communication of issues to the APC Manager.
  • Thorough understanding of ICD-9-CM/ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic.
  • Thorough understanding of HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines.
  • Thorough understanding of Medicare Outpatient Prospective Payment System (OPPS), Ambulatory Payment Classification (APC).
  • Understanding of coding resources and tools, including 3M 360 Encompass.
  • Acknowledgement of receipt and review of updated Ardent coding policies.
  • Maintains continuing education (CE) requirements per Ardent policy.

Education

  • Successful completion of a Medical Terminology course
  • Successful completion of an ICD-9-CM coding class
  • Successful completion of HCPCS/CPT/modifiers coding class
  • Coding/HIM certification

Experience & Requirements:

  • 1 year coding/abstracting experience in ICD-9-CM outpatient coding preferred. Advanced training in ICD-10-CM and PCS
  • Successful completion of coding certification or certification eligible and must be achieved within 6 months of accepting
  • Basic computer and software skills, including Word, Excel, encoder/grouper