Medical Coder

Great Value Hiring; United States; On-site; USD 28,000 - 44,000; Full time

Job summary

Great Value Hiring is seeking a Medical Coder to annotate and review outpatient records, ensuring accurate ICD-10-CM and CPT/HCPCS coding. You will apply E/M leveling using official guidelines and outpatient coding conventions to validate and enrich datasets.

Preferred qualifications include CPC certification, strong knowledge of ICD-10-CM/CPT, and hands-on outpatient coding experience, with clear written and verbal communication to resolve ambiguities in clinical documentation.

Qualifications

• Active CPC certification required.
• Comprehensive understanding of ICD-10-CM and CPT coding systems for outpatient services.
• Experience applying E&M leveling guidelines in outpatient settings.
• Hands-on outpatient coding experience (primary care, clinics, ambulatory centers).
• Experience with diverse clinical documentation types and associated coding challenges.
• Strong written and verbal communication skills; attention to detail; ability to clarify requirements.

Responsibilities

• Annotate and review outpatient medical records ensuring accurate ICD-10-CM and CPT/HCPCS coding.
• Apply E/M leveling to outpatient visits using guidelines (medical decision making or total time).
• Apply outpatient coding conventions, including diagnosis coding guidelines, modifier usage, and medical necessity linking diagnoses to procedures.
• Collaborate with project stakeholders to clarify requirements and resolve ambiguities in clinical documentation.
• Provide feedback on coding guidelines and edge cases to improve workflows and model understanding.

Skills

CPC certification

ICD-10-CM coding

CPT coding

outpatient E&M guidelines

outpatient coding experience

communication skills

coding references access

Job description

• Annotate and review outpatient medical records (physician office, clinic, ambulatory surgery, and hospital outpatient encounters), ensuring accurate assignment of ICD-10-CM and CPT/HCPCS codes based on documentation
• Apply Evaluation & Management (E&M) leveling to outpatient visits using official guidelines (medical decision making or total time) to validate and enrich datasets
• Apply outpatient-specific coding conventions, including diagnosis coding guidelines for outpatient services, modifier usage, medical necessity, and linking diagnoses to procedures
• Collaborate with project stakeholders via written and verbal communication to clarify requirements and resolve ambiguities in clinical documentation
• Provide high-quality feedback on coding guidelines and edge cases to improve project workflows and model understanding

Medical Coder [$20 - $32/hour]

Scope of Work

• Annotate and review outpatient medical records (physician office, clinic, ambulatory surgery, and hospital outpatient encounters), ensuring accurate assignment of ICD-10-CM and CPT/HCPCS codes based on documentation
• Apply Evaluation & Management (E&M) leveling to outpatient visits using official guidelines (medical decision making or total time) to validate and enrich datasets
• Apply outpatient-specific coding conventions, including diagnosis coding guidelines for outpatient services, modifier usage, medical necessity, and linking diagnoses to procedures
• Collaborate with project stakeholders via written and verbal communication to clarify requirements and resolve ambiguities in clinical documentation
• Provide high-quality feedback on coding guidelines and edge cases to improve project workflows and model understanding

Preferred Qualifications

• Active AAPC Certified Professional Coder (CPC) certification is required.
• Comprehensive understanding of ICD-10-CM and CPT coding systems and outpatient E&M leveling guidelines
• Hands-on experience coding in outpatient settings (e.g., primary care, specialty clinics, ambulatory surgery centers, outpatient hospital departments)
• Experience with diverse clinical documentation types and associated coding challenges, such as office visit notes, procedure notes, and operative reports
• Proficiency with both written and verbal communication, with a strong attention to clarity and detail
• Access to up-to-date official ICD-10-CM, CPT, and HCPCS Level II coding books, as well as E&M guidelines