The Medical Coder (OP) is responsible for accurately assigning ICD-10-CM and CPT diagnosis and procedure codes for outpatient services. This role ensures coded data is complete, compliant, and supports appropriate reimbursement, quality reporting, and regulatory requirements.
Assignment details
- 100% remote
- 1099 independent consultant
- Part-time, approximately 20 hours per week
- Per-case pay rates
- Start date within 1–2 weeks
- Must complete and pass an outpatient coding assessment and successfully code 10–15 charts
Requirements & Qualifications
Key responsibilities
- Review complete outpatient medical records to determine principal and secondary diagnoses, procedures, and complications
- Assign accurate ICD-10-CM and CPT codes for diagnoses and procedures
- Sequence diagnoses and procedures appropriately
- Ensure documentation supports DRG/APC assignment and severity of illness/risk of mortality
- Optimize DRG assignments using computer-assisted tools
- Query providers when documentation is incomplete, inconsistent, or unclear
- Place accounts on hold when additional information is needed for accurate code/DRG assignment
- Contact staff, leadership, or medical staff as needed
- Meet productivity and accuracy benchmarks
- Maintain a monthly coding accuracy and DRG accuracy rate of 95% or above
- Collaborate with CDI, compliance, and billing teams to resolve coding issues
- Participate in internal and external audits and education initiatives
- Complete assignments in a conscientious and reliable manner
Compliance expectations
- Follow AHA official coding guidelines, AMA CPT guidelines, UHDDS definitions, coding clinics, and other regulatory standards
- Adhere to AHIMA, AAPC, and CMS ethical coding standards
- Follow client-specific coding guidelines unless they conflict with official coding guidelines
- Maintain confidentiality and comply with HIPAA regulations
Education and experience
- Minimum of 5 years of HIM and outpatient facility coding experience
- Associate degree preferred in Health Information Management, Healthcare Administration, a related healthcare field, or Business Administration/Management
- Bachelor's degree preferred
- Significant relevant experience may be considered in place of formal education
- CCS or CPC required
- Additional preferred credentials include RHIA, RHIT, CCS-P, CPMA, COC, CIC, and CRC
- Advanced knowledge of medical terminology, pharmacology, ICD-10-CM, CPT, HCPCS, APCs, HCCs, and HACs
- Experience with coding tools such as 3M/Nuance Clintegrity preferred
- Experience with EMRs such as Epic/PowerChart preferred
- Strong organizational, analytical, and problem-solving skills
- Ability to work independently in a remote environment
Location
New York, New York, US
Employment Type
Contractor
Experience Level
Senior
Remote work allowed
Yes
Posted
3 weeks ago
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