Outpatient Coder III

JOB SUMMARY 

The Coder III is responsible for coordinating, performing and completing Medicare compliancy. Coding consists of outpatient services in outpatient and inpatient services including procedures. To ensure coders provide technical aspects of the assignment diagnostic and carried out in accordance with established standards and in compliance NCQA and other regulatory agencies, and Tenet policy. 

 

Essential Duties and Responsibilities: 

Include the following. Others may be assigned. 

Performs all assigned billing in a timely manner 

Communicates with the physician the documentation needed to 

complete job functions 

Ensures accurate coding from the medical record regarding ICD-9 and 

ICD-10, appropriate evaluation and management CPT code 

Updates patient record with patient’s current insurance, address and 

telephone numbers 

Identifies primary care doctor and referral source with contact 

information and documents it in the medical record 

Performs claims follow up and reviews with billing agent in a timely 

manner 

Protects patient confidentiality according to HIPAA guidelines 

Maintains proper credentials and researches coding issues to ensure 

correct coding initiative per CMS guidelines 

Identifies and attends one course/conference per specialty, per year to 

continue education in the coding field 

 

EDUCATION / EXPERIENCE 

Include minimum education, technical training, and/or experience required to perform 

the job. 

AA Degree required 

Bachelors Degree preferred 

5 years coding experience required 

Healthcare background is required 

CPT current competence with ICD- 10, ICD-9, CPT-4, and HCPCS required 

Coding scheme and reimbursement practices required 

RHIA, RHIT, CCS, CPC or COC certification is required 

Office, and Excel required 

Willingness to be flexible and adaptable in a complex, matrix environment 

 

Who We Are
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives an