Reviews medical record documentation and assigns ICD-10-CM, CPT, and modifier codes for complex outpatient encounters to support accurate coding, billing, and compliance.
Works with ambulatory payment classifications, coding edits, medical necessity guidance, and provider documentation across multiple outpatient service lines. Uses encoder tools and electronic medical records to resolve edits, research supporting documentation, communicate with providers and insurers, and correct billing-related issues when appropriate.
Maintains coding quality, productivity, confidentiality, and ethical coding standards while adapting to ongoing coding guideline changes.
Education
- High school diploma or equivalent required
- Completion of a coding training program required for HIM coder roles
Certification
- One of the following required depending on role path:
- CCS
- RHIA
- RHIT
- CPC
- CPMA
- CRC
- CCSP
Experience
- 2 years of hospital-based outpatient coding experience, or completion of the internal MHS Coder Intern Program
- For physician billing coding, 2 years of higher-complexity diagnostic, procedural, or office coding experience
Skills
- Strong knowledge of medical terminology, anatomy & physiology, pathophysiology, and pharmacology
- Knowledge of ICD-10-CM, CPT, HCPCS, HCC coding, CMS regulations, and official coding guidelines
- Proficiency with encoder software, electronic medical records, and Microsoft Office
- Strong critical thinking, communication, and independent decision-making skills
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago