Coder Outpatient

HIM Central Services; United States; On-site; USD 60,000 - 80,000; Full time

Job summary

HIM Central Services is seeking an Outpatient Coder to accurately assign ICD-10-CM, CPT, and HCPCS codes for outpatient services, including ED visits, surgeries, and observation stays. The role ensures compliance with coding guidelines and corporate policies while supporting accurate reimbursement and data integrity.

Responsibilities include reviewing records, applying correct codes, resolving denials, and collaborating with CDI and billing teams to maintain data quality and HIPAA compliance.

Qualifications

• Knowledge of ICD-10-CM, CPT, and HCPCS coding principles.
• Understanding of LCD/NCD and payer-specific guidelines.
• Experience with EHR systems and coding software (3M, Meditech, Epic, Cerner).
• Ability to analyze coding edits, denials, and ensure compliant documentation.

Responsibilities

• Review and assign ICD-10-CM, CPT, and HCPCS codes for outpatient records.
• Code outpatient encounters including ED visits, outpatient surgeries, obs, interventional radiology, wound care.
• Ensure adherence to coding guidelines, LCD/NCD and payer policies.
• Resolve coding edits and denials and collaborate with CDI and billing teams.

Skills

ICD-10-CM

CPT

HCPCS

Outpatient coding

EHR systems

Education

Associates Degree in Health Information Management

CCS – AHIMA

CCA – Certified Coding Associate

RHIA – preferred

Tools

3M Coding Software

Meditech

Epic

Cerner

Job description

Job Summary

The Outpatient Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for outpatient services, including emergency department visits, outpatient surgeries, observation stays, interventional radiology, wound care, and ancillary procedures. This role ensures compliance with coding guidelines, regulatory requirements, and corporate billing policies, while contributing to accurate reimbursement and data integrity. The Outpatient Coder reviews medical records and applies appropriate codes within hospital coding systems.

Essential Functions

• Reviews and assigns appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient records, ensuring compliance with coding and billing regulations.
• Codes spinal procedures, cardiac caths, interventional radiology, ortho procedures and EGD/Colonoscopies, along with OBS and wound care.
• Codes a variety of outpatient encounters, including observation stays, outpatient surgeries, interventional radiology, cardiac catheterization, emergency department visits, wound care, and ancillary services.
• Applies correct coding guidelines and payer-specific policies, ensuring adherence to LCD/NCD (Local Coverage Determination/National Coverage Determination) requirements.
• Resolves coding edits and denials, identifying and correcting discrepancies while maintaining compliance with corporate and regulatory standards.
• Maintains coding productivity and accuracy standards, achieving a 95% coding accuracy rate and meeting corporate benchmarks.
• Consults with the Manager or other subject matter experts to resolve complex coding issues and discrepancies.
• Collaborates with Clinical Documentation Integrity (CDI) specialists and billing teams, ensuring complete and accurate coding and documentation.
• Ensures adherence to HIPAA privacy and security standards, maintaining confidentiality of patient records.
• Utilizes hospital coding software and related tools to ensure accuracy and compliance with corporate policies.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree in Health Information Management, Medical Coding, or a related field preferred or
• One (1) year coding certification in Health Information Management preferred
• 1-3 years of outpatient coding experience in an acute care hospital or healthcare system required
• Experience coding emergency department visits, outpatient procedures, interventional radiology, and/or ambulatory surgery preferred

Knowledge, Skills and Abilities

• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding principles and outpatient reimbursement methodologies.
• Understanding of Local Coverage Determination (LCD), National Coverage Determination (NCD), and payer-specific coding guidelines.
• Experience with electronic health record (EHR) systems and coding software (e.g., 3M, Meditech, Epic, Cerner).
• Ability to analyze and resolve coding edits, rejections, and denials efficiently.
• Strong attention to detail and organizational skills.
• Excellent communication and problem-solving skills, with the ability to collaborate with CDI teams and billing departments.
• Knowledge of HIPAA regulations and patient privacy standards.

Licenses and Certifications

• Certified Coding Specialist (CCS) – AHIMA required or
• CCA - Certified Coding Associate required or
• RHIA - Registered Health Information Administrator preferred or

Job Info

• Job Identification 164538
• Job Category Health Information Mgmt
• Posting Date 09/15/2026, 02:36 AM
• Job Schedule Full time
• Job Shift Day
• Locations 4000 Meridian Blvd, Franklin, TN, 37067, US