Outpatient Coder-Remote

Job Summary The Outpatient Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for outpatient services, including emergency department visits, outpatient surgeries, observation stays, interventional radiology, wound care, and ancillary procedures. This role ensures compliance with coding guidelines, regulatory

Requirements

, and corporate billing policies, while contributing to accurate reimbursement and data integrity. The Outpatient Coder reviews medical records and applies appropriate codes within hospital coding systems. Essential Functions - Reviews and assigns appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient records, ensuring compliance with coding and billing regulations. - Codes a variety of outpatient encounters, including observation stays, outpatient surgeries, interventional radiology, cardiac catheterization, emergency department visits, wound care, and ancillary services. - Applies correct coding guidelines and payer-specific policies, ensuring adherence to LCD/NCD (Local Coverage Determination/National Coverage Determination)

Requirements

. - Resolves coding edits and denials, identifying and correcting discrepancies while maintaining compliance with corporate and regulatory standards. - Maintains coding productivity and accuracy standards, achieving a 95% coding accuracy rate and meeting corporate benchmarks. - Consults with the Manager or other subject matter experts to resolve complex coding issues and discrepancies. - Collaborates with Clinical Documentation Integrity (CDI) specialists and billing teams, ensuring complete and accurate coding and documentation. - Ensures adherence to HIPAA privacy and security standards, maintaining confidentiality of patient records. - Utilizes hospital coding software and related tools to ensure accuracy and compliance with corporate policies. - Performs other duties as assigned. - Maintains regular and reliable attendance. - Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required - Associate Degree in Health Information Management, Medical Coding, or a related field preferred or - One (1) year coding certification in Health Information Management preferred - 1-3 years of outpatient coding experience in an acute care hospital or healthcare system required - Experience coding emergency department visits, outpatient procedures, interventional radiology, and/or ambulatory surgery preferred Knowledge, Skills and Abilities - Strong knowledge of ICD-10-CM, CPT, and HCPCS coding principles and outpatient reimbursement methodologies. - Understanding of Local Coverage Determination (LCD), National Coverage Determination (NCD), and payer-specific coding guidelines. - Experience with electronic health record (EHR) systems and coding software (e.g., 3M, Meditech, Epic, Cerner). - Ability to analyze and resolve coding edits, rejections, and denials efficiently. - Strong attention to detail and organizational skills. - Excellent communication and problem-solving skills, with the ability to collaborate with CDI teams and billing departments. - Knowledge of HIPAA regulations and patient privacy standards. Licenses and Certifications - Certified Coding Specialist (CCS) - AHIMA required or - CCA - Certified Coding Associate required or - Certified Outpatient Coder (COC) - AAPC required - RHIA - Registered Health Information Administrator preferred or - RHIT - Registered Health Information Technician preferred Apply directly on RemoteJobs.org: https://remotejobs.org/remote-jobs/outpatient-coder-remote-community-health-systems