Hospital Outpatient Coder II

DaMar Staffing; Peachtree Corners (GA); On-site; USD 55,000 - 85,000; Full time

Job summary

Emory Healthcare is seeking a Hospital Outpatient Coder Level II to assign ICD-9/ICD-10 and CPT codes for Ambulatory Surgery, GI, Infusion and Observation encounters, collaborating with physicians and care teams to support accurate billing and data quality.

The role emphasizes adherence to Official Coding Guidelines and AHA Coding Clinic, and requires strong communication with clinical staff to optimize reimbursement and regulatory compliance across ambulatory services.

Qualifications

• High School diploma or equivalent.
• Two years acute care outpatient coding experience.
• CIRCC or CPC, CPC-H, CCA, RHIA, RHIT, CCS, CCS-P certification preferred.
• Ability to work with physicians and care teams to ensure accurate billing.

Responsibilities

• The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter.
• Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff.
• Plays a key role in billing, research, internal and external reporting, and regulatory compliance.
• Follows-up on CCI edits, claim rejections, and other issues impacting facilitation of billing and reimbursement process.
• Ensures accuracy of APCs and appropriate extraction of core data into HIM abstracting system to data warehouse repository.

Skills

Acute care outpatient coding

ICD-10 coding

CPT coding

Clinical documentation collaboration

Education

High School diploma or equivalent

Job description

Overview

Be inspired. Be valued. Belong. At Emory Healthcare

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship, development, leadership programs
• And more

Description

RESPONSIBILITIES:

• The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in billing, research, internal and external reporting, and regulatory compliance. Follows-up on CCI edits, claim rejections, and other issues impacting facilitation of billing and reimbursement process. Ensures accuracy of APCs and appropriate extraction of core data into HIM abstracting system to data warehouse repository.

MINIMUM QUALIFICATIONS:

• High School diploma or equivalent.
• Two years acute care outpatient coding with outpatient diagnostic and ED coding.
• CIRCC preferred or CPC, CPC-H, CCA, RHIA, RHIT, CCS, CCS-P certified.
• PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks
• ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation , Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at [e-mail]. Please note that one week's advance notice is preferred.