Outpatient Coding Consultant - Remote
Core
Review medical records and assign accurate ICD/CPT/HCPCS codes for diagnoses and procedures in outpatient settings.
Role type
Outpatient Medical Coder
Builds
Coded data for hospital statistical reporting and insurance claims
Domain
Healthcare / Medical Coding
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical terminology, ICD-10, CPT, HCPCS coding, NCCI edits, medical necessity, claim edits, Epic, 3M, Denials management
Preferred skills
Same Day Surgery, Observation, Injections/Infusions, Ancillary services, Radiology, Labs, Clinic, Wound care, Dialysis, PT/OT, Sleep studies, E/M leveling
Technologies
Epic, 3M, Computerized encoding and abstracting software
Responsibilities
Review medical records and assign accurate codes for diagnoses and procedures; Assign and sequence codes accurately based on medical record documentation; Abstract and enter coded data for hospital statistical and reporting requirements; Communicate documentation improvement opportunities and coding issues to appropriate personnel; Maintain 95% coding accuracy rate and meet productivity standards; Track continuing education credits to maintain professional credentials.
Seniority
Mid-level, hands-on IC