Medical Coder - Portland, OR

Medical Coder - Portland, OR Prime Physicians - 4.0 Portland, OR Job Details Full-time | Contract 1 day ago Qualifications National Correct Coding Initiative (NCCI) guidelines Medical software Computer skills

DRG Full Job Description Job Title:

Medical Coder (Outpatient & Inpatient)

Specialty:

Outpatient (including Radiology, Lab, Ancillary), Inpatient Facility (DRG/PCS), Inpatient Professional No.

of positions:

5 Place of Work (City/State):

Portland, OR Site:

Portland VA Medical Center (VA Portland Health Care System - VAPORHCS)

Exact Location:

3710 Southwest US Veterans Hospital Road, Portland, OR 97239 (Remote coding; coders may occasionally be required on-site for coding meetings, training, or issue resolution)

Duration:

1 year contract

Shift Schedule:

Standard business hours assumed.

Note:

Priority cases must be coded within 1 business day of receipt; all outpatient cases coded within 7 days of receipt; all inpatient cases coded within 7 days of discharge date.

How Many Shifts Needed Per Month:

Based on volume, full-time coverage (approximately 22 working days/month) required. Credentialing /

Onboarding Time:

6 to 8 weeks Certifications (Required - one of the following):

AHIMA:

RHIA, RHIT, CCS, or

CCS-P AAPC

CPC or CPC-H Education:

Completion of an accredited program in coding certification, Health Information Management (HIM), or Health Information Technology (HIT)

Experience Needed:

Minimum 2 years of experience in outpatient and/or inpatient coding. Must be able to transition between outpatient, inpatient facility, and inpatient professional coding as needed.

Special Skills Needed:

Proficiency with ICD-10-CM/PCS, CPT, HCPCS, and E&M coding Knowledge of Correct Coding Initiative (CCI) Bundling Guidelines Ability to apply modifiers: GR, G8, QK, QX, QS, QY, G9, and others as appropriate Familiarity with VA VistA/CPRS system (preferred or willingness to train) Proficiency with VA-required coding software/encoder Knowledge of DRG assignment and PCS coding for inpatient procedures Understanding of POA (Present on Admission) coding Ability to code all PCS procedure types per SOW list (cardiac cath, mechanical ventilation, excisional debridement, dialysis, chemotherapy, PICC/central line, etc.) Knowledge of 2021 E&M guidelines Ability to identify billable vs. non-billable encounters (SC conditions, Agent Orange, Ionizing Radiation, RNB reasons) Strong productivity: minimum 90 outpatient encounters per 8-hour day Maintain a 95% coding accuracy rate

Responsibilities:

Remotely access VA Portland's VistA/CPRS system to review and code medical records Assign accurate ICD-10-CM/PCS, CPT, and HCPCS codes for outpatient encounters and inpatient admissions Enter all codes, provider names, modifiers, and diagnoses into the approved coding application Associate provider and diagnosis with each CPT code performed Code all outpatient cases within 7 days of receipt; inpatient within 7 days of discharge Code priority cases within 1 day of receipt Participate in ongoing quality audits (minimum 5% of coded encounters reviewed weekly) Maintain weekly status reports with breakdown of charts/encounters coded Develop corrective action plans if accuracy falls below 95% Complete re-review of any coded data flagged during VA's pre-bill process or upon denial Destroy any paper-based record copies upon completion of coding assignments Complete all VA-required annual privacy and security training Abide by AHIMA Standards of Ethical Coding Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.