Company Description

Excelon Solutions is a leader in providing flexible business solutions, specializing in Salesforce, AWS Services, VMware, Microsoft Azure, and IT Services. We help our clients gain greater control of their operations, win customer loyalty, and control costs. With deep domain expertise in selected vertical markets, we deliver innovative and targeted solutions to the industries we serve.

Role Description

This is a full-time remote role for an Outpatient Medical Coder. The Outpatient Medical Coder will be responsible for accurately assigning medical codes to outpatient records, ensuring compliance with coding guidelines, and maintaining patient confidentiality. The role will also involve reviewing medical records, resolving coding-related issues, and collaborating with healthcare providers and billing departments.

Qualifications:

Basic Qualifications:

Experience

• Minimum two (2) years experience in a directly related coding field or 18 months within the KP Apprentice program.

Education

• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

The candidate must have 1 from the following list:

• Registered Health Information Technician Certificate
• Registered Health Information Administrator Certificate
• Certified Coding Specialist

Additional Requirements:

• Previous experience with EMR patient documentation system with intermediate knowledge and skill in the use of a computer.
• Advance knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT, classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues.
• Advanced knowledge of medical terminology, pharmacology and medial coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding.
• Fluent in English, demonstrating skill and proficiency in oral and written communication.
• Skills in time management, organization and analytical skills.
• Ability to manage a significant workload and to work efficiently under pressure meeting established deadlines with minimal supervision.
• Ability to use independent thought and judgement.
• Abides by the Standards of Ethical Coding as set for by the American Health Information Management Association (AHIMA).
• Meets and maintains department standard for performance, productivity and quality.
• Department will furnish final candidate a coding skill test. The candidate will be required to pass with a 75% or better on the test.
• Academic knowledge and working experience performing coding and abstracting responsibilities in health information/medical record services.

Preferred Qualifications:

• Minimum two (2) years of experience in health information/Medical record environment, with facility coding experience that includes Medicare reimbursement guidelines.
• Proficient knowledge and skill in the use of a computer and related system and software to include: EMR(s), Microsoft Office Suite and other software programs.
• Ability to evaluate, analyze, develop information regarding mathematical statistics and percentages that compare finding trends and outcomes related to productivity and /ore medical record audits.
• Extensive knowledge of ICD-10 coding guidelines; with knowledge and demonstrated understand of CMS HCC Risk Adjustment coding and data validation requirements.