Job Summary
The Outpatient Coder is responsible for accurately abstracting data into client electronic medical record systems while following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, and CMS directives. This role performs data entry of abstracted patient information into the client’s information system, queries physicians when appropriate, and collaborates with Clinical Documentation staff as needed. The position requires maintaining a coding accuracy rate of 95% or better while meeting productivity standards.
Key Responsibilities
- Assign ICD-10-CM, CPT, HCPCS codes, and modifiers to facility-based Ancillary, Emergency Department, Observation, and/or Outpatient Surgery accounts
- Abstract and enter coded data and charges for hospital statistical and reporting requirements
- Query physicians to clarify conflicting, incomplete, ambiguous, or inconsistent clinical information when needed
- Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution
- Coordinate with Clinical Documentation Improvement and/or Revenue Cycle teams for account follow-up and reconciliation
- Maintain required productivity and quality standards
- Maintain coding credential requirements
Work Environment
This is a remote role performed in a home office environment.
Requirements & Qualifications
Required Qualifications
- Approved AHIMA or AAPC coding credential
- Minimum 2 years of coding experience required
- Minimum 3 years of coding experience within the U.S. required
- Same Day Surgery coding experience with multiple specialties such as Cardiac, Orthopedic, Spinal, and General Surgery, including CPT and modifiers
- Experience with Cerner, Optum, and Starr preferred
- Trauma Level 1 and Academic Teaching Facility experience preferred
Core Attributes
- High integrity, passion, and ethical judgment
- Strong collaboration and teamwork skills
- Strong analytical and problem-solving abilities
- Initiative and strong drive for results
- Excellent interpersonal, written, verbal, and presentation communication skills
- Attention to detail and deep listening skills
- Ability to self-motivate and self-direct
- Strong time management and organizational skills
Benefits & Perks
Benefits
- Competitive salary
- Full benefits package
- 401(k) with company match
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Short-term disability insurance
- Long-term disability insurance
- PTO policy
Location
Pittsburgh, Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago