Outpatient Coder Lead

About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

Our Mission

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.

As our Outpatient Coder Lead, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, ensuring complete charge capture, and providing expert guidance to coding and hospital staff.

Every day you will direct Outpatient Coding Service Center operations including personnel management, training, education, productivity, work assignments, and quality reviews. You will assist with coding education, audits, denials, claim edits, and CHA data submissions, promoting standardization and managing DNB and coding compliance to achieve financial goals and improve the accuracy and integrity of patient data.

To be successful in this role, you will possess expert-level outpatient coding proficiency, strong leadership and management skills, a deep understanding of coding regulations and reimbursement methodologies, and the ability to drive accuracy, quality, and standardization across coding operations, while effectively collaborating with Revenue Management and other departments.

• Demonstrates proficiency in coding and abstracting outpatient accounts in the electronic medical record system, completes charge capture/review as applicable, and creates APC group assignments while adhering to coding guidelines, regulations, and compliance plan.
• Conducts and assists quality audit reviews in a timely manner and effectively communicates feedback to stakeholders.
• Answers coding questions in accordance with the Coding Compliance plan, Official Coding Guidelines, and regulatory billing guidelines.
• Assists Manager with managing DNB, coder productivity, and quality to ensure alignment and support of achieving corporate/service center and hospital financial goals.
• Facilitates and/or assists with coding training and education to promote accurate coding and reimbursement practices per coding guidelines, regulatory requirements, and the organization's coding compliance plan.
• Works with the outpatient coding team to improve the coding accuracy, integrity, and quality of patient data, to ensure minimal variation in coding practices.

Required

• High School Diploma/G.E.D.
• Minimum of four (4) years of outpatient coding experience in an acute care setting
• Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credential (COC, CIC, CPC-H, CPC)
• Must demonstrate competency of outpatient and observation coding guidelines as well as other outpatient coding guidelines
• Demonstrate advanced knowledge of Coding Clinic Guidelines, and advanced technical knowledge with coding competency in ICD-10 CM, CPT, HCPCS and Nosology
• Advance knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e. 3M)

Preferred

• Associate's Degree
• Charge capture experience

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

High school diploma/GED; 4+ years outpatient coding in acute care; current AHIMA or AAPC credential; advanced knowledge of ICD-10-CM, CPT, HCPCS, and coding guidelines.

Key Responsibilities

• coding outpatient records
• managing coding operations
• conducting quality audits

Skills & Tools

3M, ICD-10-CM, CPT, HCPCS, Electronic Medical Record

Job Details

• Category: Healthcare Services - Allied Health
• Seniority: Senior Level
• Commitment: Full Time
• Workplace: Remote — Centennial or United States
• Salary: USD 64,292 – 106,080 / year
• Languages: English

Benefits

• Generous paid time off
• Tuition reimbursement
• Retirement plan

About CommonSpirit Health

A nonprofit Catholic healthcare organization delivering integrated health services across the U.S. — Industry: Healthcare