Hospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote Eligible
Core
Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.
Role type
Hospital-based outpatient medical coder
Builds
Accurate billing submissions and compliant medical records for hospital outpatient services
Domain
Healthcare / Health Information Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical terminology, Anatomy & Physiology, Pathophysiology, Pharmacology, ICD-10 CM coding, CPT coding, encoder software, electronic medical record systems, regulatory compliance (CMS, LMRP, LCD)
Preferred skills
Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC)
Technologies
Computerized encoder, electronic medical record systems, Microsoft Office
Responsibilities
Assign and sequence appropriate diagnoses and procedure codes for complex surgical and diagnostic encounters; route billing charge entry errors and account edits; communicate with insurance companies about coding errors and disputes; conduct audits and coding reviews with healthcare professionals; seek clarification from providers to ensure accurate coding.
Seniority
Mid-level, specialized IC