Senior Outpatient Coding Specialist

We are seeking a Senior Outpatient Surgery Coder to join our team. This role is responsible for the accurate and timely assignment of CPT, ICD-10-CM, and applicable modifiers for a variety of facility outpatient surgical procedures, ensuring compliance with official coding guidelines, payer requirements, and organizational policies. The Senior OP Surgery Coder possesses the ability to code complex cases and contributes to quality initiatives, audits, and process improvements. The ideal candidate demonstrates knowledge of surgical anatomy, operative reports, and specialty-specific procedures, along with strong critical-thinking skills, attention to detail, and the ability to work independently while meeting productivity and quality standards. This role supports revenue integrity, coding accuracy, and collaboration across audit and revenue cycle teams.

Under direct supervision, accurately codes hospital Ambulatory Surgery and Observation visit records for reimbursement, research, and compliance with federal and state regulations according to ICD-10 and CPT coding classification systems.

Work Schedule: Monday - Friday 6AM-6PM ET, 40 hours/week.

Principal duties include serving as a clinical coding subject matter expert, analyzing and evaluating documentation issues with consultation from medical and clinical staff, assigning accurate ICD-10 diagnostic and CPT-4 procedure codes for outpatient, ambulatory surgery, and observation visits. Maintains coding quality accuracy rate of 90% and productivity rate of 95%. Communicates with hospital departments regarding billing and registration issues and complies with AHIMA ethical coding standards.

Education and Experience: High school diploma or equivalent required; formal ICD-10-CM and CPT-4 training required; associate's or bachelor's degree preferred. 2-3 years outpatient coding in healthcare, with preferred experience in outpatient surgical coding. Certification as CCS, CPC, or COC preferred.