Under the general supervision of the Outpatient Coding Manager and Outpatient Coding Supervisor, the OP Coder reviews outpatient records and performs accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPCS, and modifiers to support correct APC assignment.
The role works closely with coding leadership and coding validators to ensure uniformity, consistency, and accuracy in accordance with ICD-10-CM, CPT, official coding guidelines, federal and state regulations, and American Hospital Association guidance.
The position is responsible for meeting or exceeding quality and productivity expectations while supporting timely coding and billing.
Minimum Qualifications
- Associate degree in Health Information Management, or completion of an AHIMA or AAPC coding certification program, required for hospital coding
- High school diploma or equivalent plus specialized training leading to a recognized coding certificate, required for professional coding
- RHIA, RHIT, or CCS from AHIMA, or COC from AAPC, required for hospital coding
- CPC or CCS-P required for professional coding
- Minimum 2 years of outpatient ICD-10-CM and CPT/HCPCS coding experience
- Experience with Microsoft Office applications
- Knowledge of medical terminology
- Strong understanding of ICD-10-CM and CPT official coding guidelines
- Knowledge 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
Preferred Qualifications
- Epic experience
- Experience with 3M-360 Computer Assisted Coding
- Interventional Radiology, Cardiac Cath, Injection and Infusion, Observation, and Ambulatory Surgery coding experience
Role-Specific Skills
- OP Coder II-level outpatient code assignment skills based on the BILH OP Coder Exam
Location
Boston, Massachusetts, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago