Hospital Outpatient Coder II - FT - Day - HIM Facility Coding Remote

Capital Health System, Inc.; United States; Remote; USD 32,000 - 41,000; Full time

Benefits offered by this job

Medical Plan

Prescription drug coverage & In-House

Dental Plan

Vision Plan

FSA - Healthcare

FSA - Dependent Care

FSA Retirement Savings and Investment

Basic Life Insurance

Disability Benefits – LTD

Disability Benefits – STD

Paid Time Off

Job summary

Capital Health System, Inc. is seeking a Hospital Outpatient Coder 2 to assign ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and modifiers for outpatient encounters, including ERs and same-day records.

You will query providers when needed, ensure documentation supports proper coding for accurate reimbursement, and maintain compliance with coding policies while meeting quality and productivity targets.

Qualifications

• High school diploma or equivalent.
• CPC or COC certification preferred.
• Excellent organizational, interpersonal, verbal, and written communication skills.
• Attention to detail and thorough documentation.
• Phone and email etiquette for hospital communications.
• Ability to work in a fast-paced environment with productivity and quality standards.
• Knowledge of ICD-10-CM, CPT, and HCPCS; encoder and EMR experience.

Responsibilities

• Code outpatient services (ER, same day medicals, same day surgical) accurately.
• Meet quality and productivity benchmarks; reduce DNFB.
• Collaborate with CDI, billing, and revenue integrity teams.
• Identify documentation gaps and query providers as needed.
• Maintain up-to-date coding credentials and compliance with guidelines.

Skills

Organizational skills

Interpersonal skills

Verbal communication

Written communication

Attention to detail

Phone etiquette

Email etiquette

Fast-paced environment

Education

High school diploma or equivalent

CPC or COC certification preferred

Tools

Encoder

EMR

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. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). Pay Range: $23.09 - $30.01 Scheduled Weekly Hours: 40

Please note: While remote, we are only considering candidates in New Jersey, Pennsylvania, and Alabama at this time.

Position Overview

Hospital Outpatient Coder 2 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 Emergency Room (ERs), Outpatient in a bed, Same day medicals (SMs) and Same day surgical (SDSs) records in accordance with official coding guidelines, payer policies, and facility-specific requirements. Sends queries to physicians or hospital staff, as needed, to ensure proper documentation for the appropriate assignment of codes. This role ensures complete, compliant, and timely coding to support quality reporting, accurate reimbursement, and organizational integrity.

Minimum Requirements

• Education: High school diploma or equivalent.
  Experience: 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.

ESSENTIAL FUNCTIONS

Codes medical record documentation for outpatient services including but not limited to Emergency Room (ERs), Outpatient in a bed, Same day medicals (SMs) and Same day surgical (SDSs). 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. Maintains coding credentials and up-to-date knowledge of outpatient coding changes. Performs other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: 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

Equal Opportunity Employer Notice Capital Health Benefits

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.