Outpatient Facility Coding Specialist – ED, Surgery, OBS

This is a fully remote position, open to applicants in United States.

📋 Description

• Deliver CPT, HCPCS, and ICD-10-CM coding for four or more specialties across one or multiple clients and facilities.

• Code services related to Professional Fee, Facility, or HCC.

• Execute facility coding for outpatient services.

• Calculate Facility E/M levels utilizing a proprietary company algorithm.

• Identify critical care cases based on patient acuity.

• Code observations and surgical procedures typical of an ER environment to capture additional revenue when applicable.

• Apply ICD-10-CM diagnosis codes with the highest specificity possible.

• Correctly apply ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS diagnosis and procedure codes.

• Interpret coding guidelines to ensure precise code assignment.

• Evaluate the significance of documentation on code assignment and its impact on reimbursement.

• Uphold quality and productivity standards.

• Professionally communicate with clients to cultivate strong working relationships and support business objectives.

• Assist Leadership or the Lead Coding Specialist with reports as required.

• Potentially support auditing activities.

• Engage in training and education provided by the company.

• Ensure adherence to privacy and security regulations while safeguarding confidential information, including Personal Health Information.

• Carry out additional duties as assigned by Leadership.

⛳️ Requirements

• Ability to work from home and demonstrate independence in coding skills.

• Must maintain at least one credential through AAPC or AHIMA.

• Certification required through AAPC (CPC or COC) or AHIMA (CCS or CCS-P).

• At least 2 years of relevant experience.

• Advanced working knowledge and experience with EMR and Billing systems.

• Proficient in Microsoft Excel and Outlook.

• Excel skills must include opening and editing spreadsheets, basic arithmetic formulas, and creating basic pivot tables.

• Outlook skills should encompass managing emails and scheduling and participating in meetings.

• Up-to-date CPT and ICD-10-CM coding references.

• Regular, predictable, and timely attendance is essential.

• Maintain a productivity and accuracy rate of 95% or higher consistently.

• Sustaining an ongoing quality score of 95% or higher is required.

• Strong verbal and written communication skills are necessary.

• Ability to coordinate, analyze, observe, make informed decisions, and meet deadlines.

• Capability to perform tasks at a computer terminal for 6–8 hours daily.

• Ability to work in an environment with frequent interruptions.

• Must be able to sit for extended periods.

• Occasionally capable of lifting and moving materials weighing up to 20 lbs.

• Compliance with privacy, security, confidentiality, and Personal Health Information protection protocols is mandatory.

• Adherence to internal policies, procedures, AHIMA’s Standards of Ethical Coding, and the Company’s Code of Ethics and Business Conduct is required.

🏝️ Benefits

• Flexible work-from-home arrangement.

• Access to company-provided training and educational resources.

• Potential opportunity to assist with auditing tasks.