Hospital Based Outpatient Coder I - HIM - FT - Days - Remote Eligible
Core
Reviews medical record documentation to assign diagnosis, procedure, and modifier codes for accurate billing and compliance in hospital outpatient settings.
Role type
Hospital-based outpatient medical coder
Builds
Accurate billing submissions and compliant medical record data
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 and physiology, coding classification systems, encoder software, CMS regulations, Local Medical Review Policy (LMRP), Ambulatory Payment Classifications (APC), Enhanced Ambulatory Patient Groups (EAPG), Local Coverage Determination (LCD), HCC Coding Hierarchical Condition Category
Preferred skills
None stated
Technologies
Encoder software, electronic medical record system
Responsibilities
Review medical record documentation to determine appropriate diagnosis and procedural code assignments; assign and sequence basic CPT procedure codes and modifiers; collaborate with billing department to resolve charge entry errors; communicate with insurance companies regarding coding disputes; conduct audits and coding reviews with healthcare professionals; submit daily productivity reports.
Seniority
Entry-level to Junior, individual contributor