Hospital Outpatient Coder I - FT - Day - HIM Facility Coding Remote (NJ, PA, AL)

Capital Health System, Inc.; United States; Remote; USD 30,000 - 39,000; Full time

Benefits offered by this job

Medical Plan

Prescription drug coverage

Dental Plan

Vision Plan

FSA – Healthcare

Retirement Savings and Investment Plan

Life Insurance

Short/Long Term Disability

Paid Time-Off

Job summary

Capital Health is seeking an Hospital Outpatient Coder I to accurately assign ICD-10-CM diagnoses, CPT/HCPCS procedures, and modifiers for outpatient encounters.

The role supports quality reporting, reimbursement accuracy and data integrity, working with CDI, billing and revenue teams in a fast-paced hospital setting. High attention to detail and strong communication are essential.

Qualifications

• High school diploma or equivalent.
• Certified Physician Coder – Apprentice (CPC-A) or Certified Outpatient Coder – Apprentice (COC-A) required.
• CPC or COC certification preferred.

Responsibilities

• Codes medical record documentation for outpatient services including Clinic Records, Diagnostic Services and EMS.
• Meets or exceeds established quality and productivity benchmarks.
• Collaborates with CDI, billing and revenue integrity teams to improve documentation and reimbursement.
• Identifies documentation gaps and escalates when clarification is needed.
• Contacts providers to obtain missing documentation timely to reduce DNFB.

Skills

ICD-10-CM coding

CPT/HCPCS coding

Outpatient coding

EMR/encoder

Medical terminology

Attention to detail

Communication skills

Education

High school diploma

CPC-A or COC-A Apprentice

CPC or COC preferred

Tools

Encoder

EMR system

Job description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

Pay Range: $21.76 - $28.28 Scheduled Weekly Hours: 40

Position Overview

Hospital Outpatient Coder I is responsible for accurately assigning ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers for outpatient hospital encounter types including but not limited to Clinic Records, Diagnostic Services and Emergency Medical Services (EMS) in accordance with official coding guidelines, payer policies, and facility-specific requirements. This role ensures complete, compliant, and timely coding to support quality reporting, accurate reimbursement, and organizational data integrity.

MINIMUM REQUIREMENTS

• Education: High school diploma or equivalent.
• Experience: Certified Physician Coder – Apprentice (CPC-A) or Certified Outpatient Coder – Apprentice (COC-A) required.
• Certified Physician Coder (CPC) or Certified Outpatient Coder (COC) preferred.
• Other Credentials: Knowledge and Skills: Possesses excellent organizational, interpersonal, verbal, and written communication skills. Has vigilance and keen attention to detail. Possesses proper phone and email etiquette for frequent hospital and private provider exchanges. Ability to work in a fast-paced environment with ability to meet productivity and quality standards.
• Special Training: Thorough knowledge of medical terminology, anatomy, and physiology. Understanding of ICD-10-CM, CPT, and HCPCS. Knowledge and experience using an encoder, and EMR required.
• Mental, Behavioral and Emotional Abilities: Ability to work independently in a remote environment. Ability to work under pressure. Ability to interact effectively with other staff members to complete certain aspects of job.
• Usual Work Day: 8 Hours

Reporting Relationships

Does this position formally supervise employees? No If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

• Codes medical record documentation for outpatient services including but not limited to Clinic Records, Diagnostic Services and Emergency Medical Services (EMS).
• Meets or exceeds established quality and productivity benchmarks.
• Assists in management of the DNFB to ensure minimal number of uncoded days.
• Collaborates with Clinical Documentation Improvement (CDI), billing, and revenue integrity teams to improve documentation, and optimize reimbursement.
• Identifies documentation gaps and escalates when clarification is needed.
• Contacts providers or other staff to obtain missing documentation timely to reduce DNFB accounts.
• Abstracts data with a high accuracy rate in accordance with established policy.
• Participates in creating a collaborative environment to promote excellence in coding and outcomes.
• Adapts to changing department demands to maintain high level of performance.
• Ensures compliance with medical coding policies and guidelines.
• Performs other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Standing , Walking , Push/Pull , Twisting , Bending , Reaching overhead , Talk or Hear

Occasional physical demands include: Standing , Walking , Push/Pull , Twisting , Bending , Reaching overhead , Talk or Hear

Continuous physical demands include: Sitting , Reaching forward , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing

Anticipated Occupational Exposure Risks Include the following: N/A

This position is eligible for the following benefits: Medical Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA Retirement Savings and Investment Plan Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance Supplemental Group Term Life & Accidental Death & Dismemberment Insurance Disability Benefits – Long Term Disability (LTD) Disability Benefits – Short Term Disability (STD) Employee Assistance Program Commuter Transit Commuter Parking Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child Voluntary Legal Services Voluntary Accident, Critical Illness and Hospital Indemnity Insurance Voluntary Identity Theft Insurance Voluntary Pet Insurance Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.

Equal Opportunity Employer Notice Capital Health Benefits