Under the general supervision of the Outpatient Coding Manager and Outpatient Coding Supervisor, the OP Coder reviews outpatient records and assigns ICD-10-CM, CPT, HCPCS, and modifiers accurately, timely, and in compliance with coding standards to support correct APC assignment.
The role works closely with coding leadership and coding validators to maintain coding uniformity, consistency, and accuracy in alignment with ICD-10-CM, CPT, official coding guidelines, federal and state regulations, and American Hospital Association coding guidance.
Key responsibilities include professional coding review, provider education, prospective charge audits, review of rejected claims and patient inquiries, and ongoing collaboration with physicians, managers, and revenue cycle teams to support accurate coding and billing.
Minimum Qualifications
- High school diploma or equivalent, plus specialized training leading to a recognized coding certificate
- CPC or CCS-P certification
Experience
- Minimum 2 years of outpatient ICD-10-CM and CPT/HCPCS coding experience
- Microsoft Office experience
- Computer skills
- Preferred experience in interventional radiology, cardiac cath, injection and infusion, observation, and ambulatory surgery coding
- Preferred Epic experience and 3M-360 Computer Assisted Coding experience
Knowledge, Skills, and Abilities
- Medical terminology
- Proficiency in Excel, Word, and PowerPoint
- Knowledge of ICD-10-CM and CPT official coding guidelines
- Understanding of medical records content and management
- Working knowledge of EMR systems, structured data, and database management
- Strong written communication skills
- Knowledge of health information privacy laws and regulations
Location
Boston, Massachusetts, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago