Outpatient Coder - Remote

This is a Full Remote job, available from anywhere.

Role Summary

Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types.

Requirements

Core Responsibilities

• Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers.
• Ensure documentation supports coded services and identify/escalate discrepancies or gaps.
• Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits).
• Maintain established quality metrics (e.g., ≥95% coding accuracy) and meet productivity standards.

Minimum Qualifications

• Credentials: CPC, CCS, RHIA, or RHIT (active).
• Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types.
• Skills & Knowledge: Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits. Familiarity with CMS guidelines and outpatient workflows.

Client & Specialty Alignments

• Service Areas: Observation, Same Day Surgery / Ambulatory Surgery Center (ASC), Emergency Department, Ancillary services (e.g., radiology, lab, diagnostic testing), and Recurring/Outpatient Clinics.
• Specialty Expectations: Strong understanding of CPT coding across surgical and diagnostic services. Ability to code across mixed outpatient encounter types and a variety of specialties.

• 3+ years of experience in outpatient coding
• Active CPC, CCS, RHIA, or RHIT credentials
• Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits
• Familiarity with CMS guidelines and outpatient workflows