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 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 outpatient services
Domain
Healthcare / Medical Coding
Required skills
ICD-10 CM coding, CPT coding, HCPCS coding, medical terminology, anatomy & physiology, pathophysiology, pharmacology, encoder software, electronic medical record systems, HCC coding, LCD/LCD edits interpretation, physician query creation
Preferred skills
CCS, RHIA, RHIT, CPC, CPMA, CRC, CCSP certifications, experience with Ambulatory Payment Classifications (APC), Enhanced Ambulatory Patient Groups (EAPG)
Responsibilities
Assign and sequence appropriate diagnoses and procedure codes for complex surgical encounters; route billing charge entry errors and account edits; communicate with insurance companies about coding disputes; conduct coding audits and reviews with healthcare professionals; create electronic physician queries; maintain strict adherence to patient confidentiality; attend educational meetings to maintain certification.
Seniority
Mid-level, specialized IC
