Outpatient Coder II

Job Description

We are seeking an experienced Outpatient Coder II to join a growing healthcare coding team in a fully remote capacity. This role is responsible for reviewing and accurately coding complex outpatient encounters while ensuring compliance with ICD-10-CM, CPT, HCPCS, and regulatory guidelines.
The ideal candidate will possess strong technical coding expertise, advanced knowledge of outpatient reimbursement methodologies, and experience coding a variety of high-acuity outpatient services including observation stays, same-day surgery, surgery center cases, and outpatient-in-a-bed encounters.

Earnings

N/A

Duties

• Review and accurately assign ICD-10-CM, CPT, and HCPCS codes for complex outpatient encounters
• Analyze medical records thoroughly using clinical knowledge of anatomy, physiology, disease processes, pharmacology, and medical terminology
• Ensure compliance with official coding guidelines, Coding Clinic guidance, CPT Assistant standards, and payer regulations
• Resolve NCCI edits using approved facility modifiers
• Submit physician queries when documentation clarification is needed
• Utilize encoder and computer-assisted coding (CAC) tools to support coding accuracy and efficiency
• Identify opportunities for workflow and system improvements related to coding processes and software functionality
• Maintain established productivity and quality standards
• Communicate coding rationale and audit findings when necessary
• Collaborate with clinical, revenue cycle, and operational teams to resolve coding-related issues

Requirements

• Minimum 3 years of coding experience in an acute care healthcare setting
• Strong knowledge of ICD-10-CM, CPT, HCPCS Level I & II, and outpatient reimbursement methodologies
• Experience coding complex outpatient encounters including surgery and observation services
• Knowledge of NCCI edits and facility modifiers
• Ability to work independently with minimal supervision
• Strong analytical and critical thinking skills
• Excellent attention to detail and organizational skills

Preferred Qualifications

• Bachelor’s degree in a related field
• 4+ years of outpatient coding experience in an acute care setting
• Experience utilizing 3M Encoder and CAC technologies

Additional Information

• 100% Remote
• Full-time opportunity
• No direct reports
• Collaborative healthcare environment
• Opportunity to support advanced outpatient coding operations and quality initiatives

License / Certification

• RHIT, RHIA, or CCS credential