Outpatient Infusion Coding Specialist

Outpatient Infusion Coding Specialist

Job Code: 29363

Position Summary

An Outpatient Infusion Coding Specialist accurately assigns ICD-10-CM, CPT, and HCPCS codes for outpatient infusion services, focusing on diagnosis, drug administration (NDC codes), infusion/injection procedures, and modifiers, using EHRs and coding software to ensure compliance and proper billing for therapies like IV hydration, chemotherapy, and other injected medications in clinics or hospitals.

Responsibilities
• Codes Infusion and Injection Therapy Services assigning diagnoses (ICD-10-CM), procedures (CPT), drugs/supplies (HCPCS/NDC), and applies modifiers for infusion services
• Reviews assigned charges within the medical record to verify orders and procedures carried out
• Verifies accurate billing and identifies areas for improvement
• Ensures adherence to coding guidelines
• Monitors the status of unbilled reports, charges, and missing documents, correcting errors promptly
• Reviews, analyzes, and resolves coding-related denials for outpatient infusion services
• Reviews and requests charge corrections on patient accounts, making changes and account activity requests as appropriate
• Maintains knowledge and compliance with all current hospital and departmental policies
• Communicates to various departments when charges need adding, deleting, or changing and when discharge dispositions and patient type/status need clarifying
• Ensures compliance with department Charge Capture and any governmental coding regulations
• Participates in department performance improvement reviews and charge capture reviews
• Relies on experience and judgment to plan and accomplish goals
• Regular and predictable attendance is an essential job function
• Performs other related duties as assigned
• Competent to meet age-specific needs of the unit assigned

Requirements and Minimum Qualifications
• High school diploma or equivalent preferred
• Minimum 2 years coding or abstracting I & I charge experience required
• Previous experience with Epic and a working knowledge of Epic applications and workflows required
• Previous Meditech Expanse experience preferred
• Coding certification through AHIMA or AAPC required
• Strong computer skills including working knowledge of Excel and Word
• Ability to adapt quickly to new systems and tools

Working Conditions
• Must be able to lift and move up to 10lbs
• Must be able to maintain a sitting position
• Must be able to communicate and exchange accurate information
• Typical equipment used in an office job