AOSP
Healthcare
SeniorMedicalCoderOutpatientProFeeCoding
“Senior Medical Coder - Outpatient ProFee Coding at AOSP. Skills: Medical coding, Revenue Cycle Management, HCC risk adjustment. Support clean claim submission. Support optimal reimbursement”
What You'll Achieve.
Clean claim submission; Optimized reimbursement; Revenue integrity; First-pass payment outcomes
Industry & Context.
Root cause analysis; Problem-solving skills
What They're Looking For.
Must Have
CPC certification through AAPC, CCS certification through AHIMA, 1+ year outpatient coder, 1+ year risk adjustment coder, Knowledge of health systems operations, Understanding of reimbursement methodologies, Understanding of coding conventions, Accurate and complete chart reviews, Advanced knowledge of HCC risk adjustment, Advanced knowledge of coding requirements, Advanced knowledge of documentation requirements, Experience in coding production environment
Nice to Have
1+ years outpatient auditor, 1+ years risk adjustment auditor, 1+ years Medicare experience, 1+ years Medicare Advantage experience, CRC license within one year, Experience in Microsoft Suite, Experience in Google Suite, Works efficiently within team, Adaptable to shifting priorities, Willingness to meet needs, Ability to work independently, Meet quality of work expectations, Meet workload expectations, Manage multiple projects
What You'll Do.
Support clean claim submission
Support optimal reimbursement
Manage coding initiatives
Manage daily production work
Maintain knowledge of CPT
Maintain knowledge of ICD-10-CM
Maintain knowledge of E&M guidelines
Maintain knowledge of modifier usage
Maintain knowledge of commercial payer policies
Maintain knowledge of Medicare preventive service requirements
Assign accurate diagnosis codes
Assign accurate procedure codes
Assign accurate E&M levels
Assign accurate preventive service codes
Assign applicable modifiers
Review coding inquiries
Resolve payer responses
Identify root causes of errors
Implement corrective actions
Improve first-pass payment outcomes
Analyze coding trends
Analyze E&M leveling trends
Analyze preventive service trends
Analyze denial trends
Communicate actionable insights
Support provider education
Support continuous improvement efforts
How You'll Work.
Team & Collaboration
Cross-functional Revenue Cycle Management teams; Clinical partners; Leadership partners
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