OHSU is Oregon’s only public academic health center. We are a system of hospitals and clinics across Oregon and southwest Washington. We are an institution of higher learning, with schools of medicine, nursing, pharmacy, dentistry and public health – and with a network of campuses and partners throughout Oregon. We are a national research hub, with thousands of scientists developing lifesaving therapies and deeper understanding. We are a statewide economic engine and Portland’s largest employer. And as a public organization, we provide services for the most vulnerable Oregonians, and outreach to improve health in communities across the state. Learn more at https://www.ohsu.edu/about

This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding and requires certification with AAPC or AHIMA.

• For Professional Services coding positions: Depending on the posted job need, this position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to complex Specialty surgical procedures and/or other highly specialized services such as ED, Interventional Radiology, Neurosurgery, Orthopedics, Trauma, Critical care and may include integrated desks (i.e. coding both professional and facility services for the same patient). This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines.
• For Facility Services coding positions: Depending on the posted job need, this position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to Inpatient records; Day Surgery/Observation surgical services; and/or other highly specialized services such as Infusions/Chemo. This position ensures that the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines. This position provides support to the Enterprise Coding Department for abstracting of records, coding, and charge router submission of Facility services rendered at OHSU.
• Responsible for meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services rendered at OHSU.
• Working in collaboration with Enterprise Coding Leadership and billing departments, provide technical expertise regarding a broad range of third-party payer and reimbursement issues.
• Orient peer coders or new hires to specified coding assignments.
• Requires maintaining an hourly productivity standard and quality standard as set by Enterprise Coding and based on Industry Standards.
• Will require attendance of Enterprise Coding and Clinical Department meetings via conference call and WebEx.
• Coding Work Queue assignment will vary based on business needs or management assignment.

• High school diploma or GED
• Minimum of 4 years professional or hospital (depending on position) experience reviewing, abstracting, coding in ICD 10 CM or ICD 10 PCS, or CPT
• Certification in one of the following (as indicated by the position description) Coding certification from AAPC or AHIMA:
  • Registered Health Information Administrator (RHIA),
  • Registered Health Information Technician (RHIT),
  • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
  • Active AHIMA membership may be required for some positions.
  • Certified Professional Coder (CPC) through the American Academy of Professional Coders;
  • OR equivalent certification.

• Accredited Coding Program, associate or bachelor's Degree; Specialized Coding Credential
• Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements.
• Experience using an EMR.
• Some college course work or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
• Knowledge of CPT Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines.
• Experience using EPIC, 3M encoder.
• Advanced knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates
• Proficiency with word processing and Excel spreadsheets.
• Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
• Ability to work as a team player.
• Member of the American Academy of Professional Coders and Certified Professional Coder or AHIMA certification required upon hire.
• Must be able to pass internal coding test to qualify as a Level 3.

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.