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How You'll Help Transform Healthcare:

The Outpatient Coder is responsible for coding diagnoses and procedures of Outpatient Diagnostic and Hospital-based Clinic records using ICD-10-CM coding system. Identifies cases which do not meet medical necessity and consults with ordering physicians for additional information to appropriately code the account for compliance and reimbursement. Responsible for maintaining a working knowledge of CMS and other payer guidelines. OP Organization-wide volume totals approximately 290,000 - 300,000 accounts per year.

The primary job duties of the Coder-Outpatient includes, but is not limited to, the following:

• Performs ICD-10-CM coding of Outpatient and Hospital-based clinic records, assigning and sequencing codes according to official coding guidelines.
• Identifies accounts in which the diagnosis provided does not support medical necessity for the diagnostic procedure performed and acts as the first line of consultation to the physician to clarify and obtain necessary documentation, using CMS and other payer guidelines.
• Provides guidance to the physician to ensure appropriate procedure is followed in the revision of the medical record when necessary.
• Ensures that the coded accounts are compliant with established coding guidelines and that all code assignments are based on physician documentation.
• Maintains working knowledge of Sovera, SMS, 3M Encoder, SoftMed and Educode software.

CPC is required for this position. CPC-A is eligible to apply. Radiology coding a plus. This position will code CPT, DX and modifiers. 100% REMOTE

What We Require:

Education: High School education required: college degree preferred. Medical Terminology and Physiology & Anatomy required.

Experience: Entry level position. New coding program graduates considered. Previous coding or health information management experience preferred. Must have a basic understanding of body systems and disease process. Basic computer skills required.

Licensure, certification, and/or registration: CPC or CPC-A required

About Carilion

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Requisition Number: 146534
Employment Status: Full time
Location: CASB - Carilion Administrative Services Building
Shift: Day
Shift Details: Full time, flexible start times, OT when needed
Recruiter Email:
For more information, contact the HR Service Center at .

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.

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