Outpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL - Sign-on bonus eligible)
Core
Assign ICD-10-CM, HCPCS, and CPT codes for complex outpatient encounters including observation stays, same-day surgery, and surgery centers to ensure accurate reimbursement.
Role type
Outpatient Medical Coder II
Builds
Accurate medical coding and reimbursement data for outpatient facilities
Domain
Healthcare / Medical Coding
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10-CM coding, CPT-4 coding, HCPCS coding, anatomy and physiology knowledge, clinical disease process understanding, pharmacology knowledge, medical terminology, NCCI edit resolution, physician query management, 3M Encoder proficiency
Preferred skills
Bachelor's degree in health information management, 4+ years acute care coding experience
Technologies
3M Encoder, CAC (Computer Assisted Coding) systems
Responsibilities
Review medical records to assign appropriate diagnosis and procedure codes; interpret coding conventions and instructional notes; resolve NCCI edits with approved modifiers; send physician queries for documentation clarification; participate in testing software modifications for coding systems; meet productivity and quality standards.
Seniority
Mid-level, hands-on IC