The Certified Outpatient Coder is part of an emerging coding team within the billing and credentialing service. This role reviews ambulatory medical records for multi-specialty provider organizations to ensure billed codes are accurately supported by clinical documentation.
The coder translates medical record information into payer-usable language to support physician charge processing and ensure compliance with coding guidelines. The position also works to identify documentation issues, support claim corrections, and help reduce revenue risk.
Requirements & Qualifications
- High school diploma or equivalent
- CPC certification required
- 3–5 years of CPT/HCPCS outpatient coding experience, preferably in a multi-specialty facility
- Knowledge of ICD-CM, CPT, HCPCS, and CCI edits
- Knowledge of third-party payer requirements, federal and state guidelines, and medical coding and billing regulations
- Understanding of ICD-10-CM and CPT/HCPCS Official Guidelines for Coding and Reporting
- Knowledge of medical record content and management
- Working knowledge of EMR systems
- Medical terminology knowledge
- Understanding of health information laws and patient confidentiality
- Proficiency with Microsoft Office applications
- Strong interpersonal, communication, and problem-solving skills
- Ability to work accurately, efficiently, and in a timely manner
- Ability to learn new software and systems
- Epic experience highly preferred
Location
Boston, Massachusetts, US
Employment Type
Not specified
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago