Outpatient Coder

This is a fully remote position, open to applicants in Alabama, +43 more states.

📋 Description

• Assign ICD-10-CM diagnosis and CPT procedure codes for intricate outpatient services, such as Emergency Department, Outpatient Surgery, Observation Services, oncology, interventional radiology, pain management, and cardiology.

• Ensure precise code assignment and sequencing in compliance with official coding guidelines, government regulations, and payer requirements.

• Facilitate accurate data capture and reporting for fields including discharge disposition.

• Manage coding claim edit work queues to ensure timely filing and prompt revenue collection.

• Apply relevant coding modifiers as needed.

• Query medical personnel to clarify any incomplete, insufficient, or ambiguous documentation.

• Engage in coding audits and utilize feedback for ongoing improvement.

• Navigate Epic coding workflows, work queues, coding edits, and claim edit resolution processes efficiently.

• Achieve performance benchmarks for coding accuracy, productivity, and management of coding-related denials.

• Operate independently from designated Epic work queues and escalate coding compliance issues to Coding Leadership.

• Direct charts to appropriate follow-up work queues as necessary.

• Execute additional duties that support the needs of the organization and department.

⛳️ Requirements

• Comprehensive knowledge of ICD-10-CM and CPT coding classifications along with official coding guidelines.

• Proficient in assigning coding modifiers in line with coding, billing, and payer requirements.

• Capability to interpret medical documentation, identify discrepancies, and communicate effectively with medical staff.

• Familiarity with hospital coding workflows, revenue cycle processes, claim edits, and denial prevention strategies.

• Strong attention to detail and excellent organizational abilities.

• Ability to independently manage assigned work queues while meeting productivity and quality standards.

• Proficient in computer applications, including 3M Encoder and Microsoft Teams.

• High school diploma is required.

• AHIMA or AAPC coding certification is mandatory.

• One or more years of hospital coding experience is preferred.

• Epic coding experience is also preferred.

🏝️ Benefits

• Remote work arrangement.

• Opportunities to broaden skillset and mentor colleagues.

• Continuous professional development and required continuing education.

• Mission-driven, people-centered culture.

• Autonomy and ownership of projects.

• A culture of collaboration, innovation, and continuous improvement.