Job Overview We are seeking a detail-oriented and motivated Medical Outpatient Coder to join our healthcare team. In this vital role, you will be responsible for accurately translating medical documentation into standardized codes used for billing, reimbursement, and statistical purposes. Your expertise will ensure compliance with coding guidelines and regulatory requirements, supporting the revenue cycle management process. The ideal candidate will possess strong knowledge of medical terminology, anatomy, physiology, and coding systems such as ICD-9, ICD-10, CPT, and HCPCS. This position offers an engaging opportunity to contribute to efficient healthcare delivery by ensuring precise coding for outpatient services. Responsibilities Review and analyze outpatient medical records to assign appropriate
ICD-9, ICD-10
diagnosis codes, CPT procedure codes, and HCPCS codes in accordance with current coding guidelines. Ensure all coding aligns with the standards set by the Centers for Medicare and Medicaid Services (CMS) and adheres to federal regulations. Utilize electronic health records (EHR) systems and medical coding software to accurately document and abstract medical records for billing purposes. Collaborate with healthcare providers to clarify documentation discrepancies and improve record accuracy. Maintain up-to-date knowledge of medical coding guidelines, changes in ICD coding updates, and relevant healthcare regulations. Support the revenue cycle management process by ensuring correct coding for outpatient procedures and diagnoses to optimize reimbursement. Conduct medical record abstraction for billing and auditing purposes, ensuring completeness and accuracy of data entry. Assist in training or mentoring new team members on medical coding procedures and system usage as needed. Experience Proven experience in medical outpatient coding within a healthcare setting, with familiarity in both ICD-9 (legacy systems) and ICD-10 coding standards. Strong understanding of medical billing processes, medical terminology, anatomy, physiology, and clinical documentation practices. Experience working with electronic health records (EHR) systems and medical coding software tools. Knowledge of DRG (Diagnosis Related Group) assignment processes and their impact on hospital reimbursement models. Familiarity with CMS guidelines related to outpatient services coding, including HCPCS level II codes. Ability to interpret complex medical records accurately while adhering to current coding guidelines for inpatient and outpatient services. Excellent attention to detail, organizational skills, and ability to work efficiently within a fast-paced environment.
Required Certification required:
RHIA, RHIT, CCS, CPC, or equivalent credential. 2+ years of experience coding outpatient records preferred. Strong knowledge of anatomy, physiology, medical terminology, and disease processes. Join us in this dynamic role where your expertise directly impacts patient care documentation accuracy while supporting the financial health of our organization!