Hospital Coder II/Outpatient Coder

Xtensys; Town of Ithaca (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

Xtensys in Ithaca, NY is seeking an experienced Hospital Coder II/Outpatient Coder to support oncology coding and related outpatient services. You will select Diagnoses and Procedures per ICD-10-CM and CPT guidelines, manage claim edit queues, and advance your coding expertise through continuing education.

The ideal candidate has 1+ year hospital oncology coding, ICD-10-CM/CPT proficiency, and AHIMA or AAPC certification. Epic experience preferred. Travel none; sedentary work.

Qualifications

• Two-year degree in Health Information Management or related field.
• AHIMA or AAPC Coding Certification required. Oncology credentials preferred.
• ICD-10-CM and CPT coding knowledge essential.
• Modifier assignment per payor requirements and guidelines.

Responsibilities

• Assign codes to diagnoses and procedures using ICD-10-CM and CPT for complex oncology services.
• Assist with accurate capture and reporting of data fields such as discharge disposition.
• Ensure codes are sequenced correctly per government, payer guidelines and coding rules.
• Maintain coding claim edit work queues for timely filing and revenue capture.
• Assign coding modifiers to ensure correct coding initiatives.
• Query medical staff for documentation gaps or ambiguities.
• Participate in coding audits and implement improvements from feedback.
• Understand Epic coding workflows, work queues, edits, and claim resolution.
• Meet coding accuracy, productivity, and denial reduction metrics.
• Support revenue cycle by ensuring timely filing and accurate coding.
• Other duties as needed to meet department needs.

Skills

Oncology coding experience

ICD-10-CM knowledge

CPT coding

Epic coding workflows

Education

Health Information Management degree

AHIMA or AAPC Certification

Tools

3M Encoder

Microsoft Teams

Job description

Who We Are

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.

We are seeking an experienced Hospital Coder II/Outpatient Coder to support our continued growth and commitment to deliver exceptional client outcomes.

Why Join Us?

• Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.
• Autonomy & Ownership: We trust you. You'll lead projects, define success, and manage complexities with total support.
• A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous improvement.
• Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.

The Role

Your Mission: As our next Hospital Coder II/Outpatient Coder, Responsible for coding complex outpatient oncology claims may also assist with other specialty outpatient areas such as interventional radiology, pain management, and cardiology. Responsible for the selection of applicable Diagnoses and Procedures, sequence codes following the ICD-10-CM and CPT official coding guidelines. Also responsible for claim edit work queues. Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.

What You'll Do Day-to-Day

• Assign codes to diagnoses and procedures using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) Codes primarily for complex Oncology services or may assist with other outpatient services such as interventional radiology, pain management, and cardiology.
• Assist with accurate capture and reporting of data fields such as discharge disposition.
• Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations as well as coding guidelines.
• Maintain coding claim edit work queues for timely filing and prompt revenue capture.
• Accurate assignment of coding modifiers for correct coding initiatives.
• Communicate (Query) with the medical staff for any documentation that is insufficient and/or unclear.
• Participates in coding audits and reviews the feedback from the audit timely. Collaborates with the audit findings for ongoing growth and improvement.
• Understands and works Epic coding workflows, work queues, coding edits and claim edit resolution.
• Evaluated on key metrics: coding accuracy in accordance with coding guidelines, meeting coding productivity standards and coding denials.
• Understands the role of coding in revenue cycle and timely filing and strives to perform above standard.
• Other duties as needed to meet the needs of the organization/department

Proven Track Record

Who You Are & What You'll Bring

• One or more years of hospital coding oncology experience.

Epic Coding Experience Preferred.

• ICD10 CM and CPT coding classification.
• Modifier assignment in accordance with coding, billing and payor requirements.

Education/Certifications

• Two-year degree in Health Information Management or related field.
• AHIMA or AAPC Coding Certification required. Oncology service credentials preferred.

Technical Savvy

• Proficient with computer applications such as 3M Encoder and Microsoft Teams.
• Travel Requirements: No travel required
• Physical Readiness: Capability for sedentary work, including sitting for long periods and occasionally exerting up to 10 pounds of force.