Medical Coder-Outpatient
Core
Review outpatient medical records and documentation to assign accurate ICD-10, CPT, and HCPCS codes for healthcare services rendered.
Role type
Outpatient medical coder
Builds
Accurate medical coding for outpatient settings to facilitate correct reimbursement and billing
Domain
Healthcare / Medical Coding
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10 coding, CPT coding, HCPCS coding, knowledge of outpatient healthcare services, compliance with insurance and governmental regulations, proficiency in electronic health record (EHR) systems, claims resolution
Preferred skills
Associate's degree in health information management or medical coding
Technologies
ICD-10, CPT, HCPCS, EHR systems
Responsibilities
Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes; Ensure coding accuracy and compliance with regulations, payer policies, and guidelines; Work with billing teams to prepare and submit claims, resolving any coding-related denials; Collaborate with healthcare providers to clarify documentation and ensure proper code assignment; Stay current on coding updates and payer requirements