Coding Specialist

CODING SPECIALIST

(REMOTE)

Fully Remote • Remote • OCHIN Billing Services

Full-time

Description

MAKE A DIFFERENCE OCHIN

OCHIN is a rapidly growing national nonprofit health IT organization with two decades of experience transforming health care delivery to drive health equity. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our mission.

OCHIN provides leading-edge technology, data analytics, research, and support services to nearly 1,000 community health care sites, reaching nearly 6 million patients nationally. We believe that every individual, no matter their race, ethnicity, background, or zip code, should have fair opportunity to achieve their full health potential. Our work addresses differences in health that are systemic, avoidable, and unjust. We partner, learn, innovate, and advocate, in order to close the gap in health for individuals and communities negatively impacted by racism or other structural inequities.

At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture of belonging.

Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 900 diverse professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees’ entire well-being by fostering a healthy work-life balance and equitable opportunity for professional advancement. We are curious, collaborative learners who strive to live our values everyday: leadership, collaboration, excellence, innovation, inclusion, and stewardship. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.

Position Overview

The Coding Specialist is responsible for providing high quality healthcare coding services to one of more OCHIN Billing Services member clinics and/or OCHIN consortium member clinics. The Coder will recognize potential high-risk trends and develop techniques to optimize revenue, improve coding accuracy, and streamline the revenue cycle. Our team member will escalate difficult or unique coding problems with the Billing Supervisor assigned to the clinic, resolve issues, apply new information to future issues, and make suggestions to enhance our efficiency and effectiveness through process improvement with the assistance of their immediate supervisor This position will enhance the billing department’s reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

Essential Duties

• Provide efficient and effective coding services on behalf of our member clients in accordance with
• Payer requirements and organizational policies, while ensuring compliance to all coding guidelines.
• Abstract clinical data (diagnoses and procedures) from patient medical records and on-line patient data.
• Review and interpret patient encounters for accurate code assignment of all relevant diagnoses and procedures.
• Help fulfill the reimbursement needs of the member through review and recommendation or correct assignment of diagnosis and procedure codes which are critical to third party reimbursement.
• Research and obtain necessary information from provider/office via Epic in-basket when necessary per agreement.
• Assist with research for denied claims.
• Meet assigned productivity goals.
• Establish and maintain positive working relationships with patients, payers, team members, clients and other stakeholders.
• Maintain confidentiality of patient information, organization data and information, and in compliance with HIPAA regulations
• Perform other specific projects related to billing, data entry and computer operations as required.
• Other duties as assigned.

Requirements

• Required is a minimum of a high school diploma or GED, or a combination of relevant experience and some higher education.
• Preferred is an Associate’s or Bachelor’s degree in Business or applicable area of study.
• Previous FQHC/RHC experience preferred.
• Knowledge of Medical Terminology is required for this role.
• Prior experience using Epic practice management system preferred.
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge.
• Dual language skills, specifically in Spanish is a plus.
• Required certifications include:
• Medical coding from AAPC (CPC Certificate) or AHIMA (CCS Certificate, and
• Current certification from ADCA (CDC certificate).
• Maintain Certifications by completing any necessary training and obtain required CEU’s.

Base Pay Overview

The typical offer range for this role is minimum to midpoint, ($24.01 – $28.21) with the midpoint representing the average pay in a national market scope for this position. Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will consider a wide range of factors directly relevant to this position, including, but not limited to, skills, knowledge, training, responsibility, and experience, as well as internal equity and alignment with market data.

Work Location and Travel Requirements

OCHIN is 100% remote organization. Work from home requirements are:

• Ability to work independently and efficiently from a home office environment
• High Speed Internet Service
• It is a requirement that employees work in a distraction free workplace
• Travel may be required to support our member organizations on-site based on business requirements for OCHIN

We offer a comprehensive range of benefits. See our website for details: https://ochin.org/employment-openings

COVID-19 Vaccination Requirement

To keep our colleagues, members, and communities safe, OCHIN requires all employees—including remote employees, contractors, interns, and new hires—to be vaccinated with a COVID-19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.

Equal Opportunity Statement

OCHIN is proud to be an equal opportunity employer. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills for the benefit of our staff, our mission, and the communities we serve. As an Equal Opportunity and Affirmative Action employer, OCHIN, Inc. does not discriminate on the basis of race, ethnicity, sex, gender identity, sexual orientation, religion, marital or civil union status, age, disability status, veteran status, or any other protected characteristics. All aspects of employment are based on merit, performance, and business needs.

#LI-Remote

Salary Description

Min -$24.01 Mid- $28.81 Max- $33.61