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Out-Patient Clinical Coding Specialist
2 weeks ago
We are seeking an experienced Medical Coding Professional to join our team in ensuring accurate and compliant coding of outpatient medical records.
About the RoleThis position involves reviewing clinical documentation and applying appropriate CPT, HCPCS, and ICD-10-CM codes across various outpatient settings and specialties.
Main Responsibilities- Coding Expertise: Review outpatient medical records and documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes.
- Compliance and Accuracy: Ensure coding meets official guidelines, payer-specific rules, and client documentation standards.
- Documentation and Communication: Identify documentation gaps or discrepancies and coordinate with internal teams for clarification when needed.
- Productivity and Benchmarking: Maintain coding accuracy and productivity benchmarks based on organizational expectations.
- Industry Knowledge: Stay updated on the latest outpatient coding standards, payer regulations, and compliance requirements.
- Quality Assurance: Participate in regular audits, quality assurance processes, and training sessions.
- Data Security: Utilize electronic health records (EHR) systems and coding platforms efficiently while maintaining confidentiality and data security.
- Associate's or Bachelor's degree in Health Information Management, Nursing, or related field preferred.
- Active certification required: CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or equivalent.
- Minimum of 2 years of outpatient coding experience, preferably across multiple specialties or facility types.
- Proficiency in CPT, HCPCS, and ICD-10-CM coding systems.
- Familiarity with outpatient billing processes, modifiers, and payer-specific coding requirements.
- Experience using EHR systems and encoder software (e.g., 3M, Optum).
- Knowledge of HIPAA and data privacy standards.
- Ability to handle diverse outpatient documentation from multiple provider types or practice settings.
- Strong analytical skills, attention to detail, and ability to work independently or as part of a remote team.
- Excellent organizational and communication skills.
