Coding Consultant Outpatient - PRN - Billing/Edits/Denials
Core
Review medical records to assign and sequence accurate diagnosis and procedure codes for outpatient claims, ensuring high accuracy in APC assignment and discharge disposition.
Role type
Outpatient medical coder (billing edits and denials)
Builds
Accurate medical coding and claim edits for healthcare providers and health plans
Domain
Healthcare billing and medical coding
Required skills
Medical terminology, AHIMA or AAPC certified credentials, Hospital Billing (HB) claim edits, Same Day Surgery/Observation/Injections coding, Ancillary/Emergency Department/E/M leveling coding, Computerized encoding software proficiency
Preferred skills
Parallon, Cerner, Optum experience, Microsoft Excel proficiency
Responsibilities
Review medical records and assign accurate codes for diagnoses and procedures, Assign and sequence codes accurately based on medical record documentation, Abstract and enter coded data for hospital statistical reporting, Communicate documentation improvement opportunities to personnel, Maintain 95% coding accuracy and APC assignment accuracy, Track continuing education credits to maintain professional credentials
Seniority
Mid-level, credentialed professional
