Primary Responsibilities:

• Observation hour charge calculation including validation of documentation for the start and stop time to establish the total observation hours to be charged for each account
• Review and carve out times for various services during the calculation process
• Understand the Medicare Ambulatory Payment Classification (APC) codes
• Abstract additional data elements during the chart review process when coding, as needed
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
• Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360
• Maintain up-to-date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, among others
• Participate in coding department meetings and educational events
• Review and maintain a record of charts reviewed, held, and / or missing
• Additional responsibilities as identified by manager

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED (or higher)
• 2+ years of recent, applied outpatient facility (hospital based) coding experience
• Professional coder certification with credentialing from AHIMA and/or AAPC (ROCC, CPC, CCA, COC, CPC-P, CCS, RHIT or RHIA) to be maintained annually
• ICD-10 experience
• Intermediate proficiency of Microsoft Excel (create, edit, save, pivot tables) and EMR systems

Preferred Qualifications:

• Intermediate knowledge of physician orders
• Experience with various encoder systems (eCAC,3M, EPIC, Cerner)
• Experience with OSHPD reporting
• Experience with SharePoint
• Ability to work the weekly schedule: Sunday through Thursday OR Tuesday through Saturday (one weekend day/week)