Outpatient Surgery Coding Specialist

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

📋 Description

• Deliver CPT, HCPCS, and ICD-10-CM coding across 1–4 specialties

• Conduct professional fee, facility, or HCC coding

• Operate independently from a home office

• Provide coding services that support our clients

• Calculate Facility E/M levels utilizing the company's algorithm

• Identify critical care cases based on patient acuity

• Code same-day surgery and observation cases

• Code ER surgical procedures to maximize revenue when appropriate

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

• Utilize ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS diagnosis and procedure codes

• Interpret coding guidelines to ensure accurate code assignment

• Evaluate the significance of documentation and its impact on reimbursement

• Adhere to AHIMA Standards of Ethical Coding, the Company Code of Ethics and Business Conduct, and the Ethics and Compliance Program

• Follow internal policies and procedures

• Engage in company-provided training and educational opportunities

• Maintain at least one credential from AAPC or AHIMA

• Ensure compliance with privacy and security regulations while safeguarding confidential information, including PHI

• Execute additional tasks assigned by leadership

⛳️ Requirements

• Certification from AAPC (CPC or COC) or AHIMA (CCS or CCS-P) is mandatory

• At least 1 year of relevant work experience

• Experience in SDS, outpatient surgery, and observations facility coding

• E&M, injections/infusions, and ED experience is advantageous

• Consistent, predictable, and punctual attendance is expected

• Proficient knowledge and experience with EMR and billing systems

• Access to a phone, reliable internet connection, and up-to-date CPT and ICD-10-CM coding references

• Maintain a productivity level and accuracy of 95% or higher

• Achieve a quality score of 95% or higher

• Proficient in Microsoft Excel and Outlook

• Effective and professional verbal and written communication skills

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

• Capability to work at a computer terminal for 6–8 hours daily

• Ability to lift and relocate materials weighing up to 20 lbs. occasionally

🏝️ Benefits

• Opportunities for professional development and personal growth

• Company-sponsored training and education

• Work remotely from home

• Reasonable accommodations for individuals with disabilities