Coder Outpatient

Community Health Systems; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

Community Health Systems is seeking an Outpatient Coder to accurately assign ICD-10-CM, CPT, and HCPCS codes for outpatient services, including ED visits, OR procedures, and ambulatory care. You will ensure compliance with coding guidelines and corporate policies while supporting data integrity and accurate reimbursement.

Responsibilities include reviewing medical records, resolving denials, and collaborating with CDI and billing teams to maintain coding accuracy and productivity above 95%.

Qualifications

• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding principles.
• Understanding of LCD and NCD payer guidelines.
• Experience with EHR systems and coding software (3M, Meditech, Epic, Cerner).
• Ability to analyze and resolve coding edits and denials.
• Attention to detail and organizational skills.
• Excellent communication and problem-solving abilities with CDI and billing teams.

Responsibilities

• Review and assign ICD-10-CM, CPT, and HCPCS codes for outpatient records.
• Code spinal procedures, cardiac caths, interventional radiology, ortho, EGD/Colonoscopies, OBS and wound care.
• Support coding for observation stays, outpatient surgeries, interventional procedures, and ED visits.
• Resolve coding edits and denials and ensure compliance with policies.
• Maintain productivity and accuracy, targeting 95% accuracy and corporate benchmarks.
• Collaborate with Manager, CDI specialists, and billing teams.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

EHR systems

Denials resolution

HIPAA compliance

Education

Associate degree in Health Information Management

CCS certification (preferred)

Tools

3M

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