Medical Coder (Outpatient)

DaMar Staffing; Brentwood (TN); On-site; USD 65,000 - 90,000; Full time

Job summary

DaMar Staffing is seeking an experienced Outpatient Coder to join our healthcare team in the Brentwood, TN area. This role focuses on accurate ICD-10-CM and CPT coding for diagnoses and procedures, with emphasis on timely reimbursement and quality reporting.

The candidate will work with hospital information systems and EMR/EHR encoders, maintain a 95% quality accuracy rate, and collaborate with providers for documentation clarification to support appropriate billing.

Qualifications

• 3+ years of outpatient coding experience with ICD-10-CM and CPT knowledge.
• AHIMA/AAPC credentials required or active.
• Strong understanding of hospital information systems and EMR/encoder.
• Ability to achieve 95% quality accuracy and maintain productivity.

Responsibilities

• Assign ICD-10-CM codes for medical records and diagnoses.
• Abstract data elements for billing, regulatory agencies, and databases.
• Review records for documentation to support facility charges.
• Clarify documentation with providers to ensure proper E/M levels.
• Resolve outpatient claim edits to ensure compliant billing.
• Assist with simple errors in other outpatient visits as needed.
• Maintain patient confidentiality and professional standards.
• Participate in regular training to improve patient and customer communications.

Skills

Outpatient coding

Ancillary coding

Productivity & accuracy

AHIMA/AAPC credentials

Mentoring/teaching

ICD-10-CM & CPT

HIS/EMR/encoder

Chart completion standards

Quality target 95%

Job description

Outpatient Coder

• Required Skills & Experience - 3+ years of outpatient coding experience.
• Ancillary coding knowledge.
• Ability to maintain productivity while maintaining accuracy.
• Active AHIMA/AAPC Credentials
• Ability to impart knowledge of procedures and techniques.
• Thorough working knowledge of ICD-10-CM and CPT coding systems, and federal/state regulations regarding reimbursement.
• Thorough working knowledge of the hospital information system, electronic medical record systems, and encoder.
• Working knowledge of standards for chart completion.
• Ability to meet and maintain a 95% quality accuracy rate and productivity standards.

Job Description

We are seeking an Outpatient Coder. This role, under general direction, is responsible for coding and abstracting of diagnoses from medical records for optimal and timely reimbursement and quality reporting.

Duties and Responsibilities

• Assigns ICD-10-CM codes for medical record accounts, including but not limited to diagnoses.
• Abstracts key data elements required for billing, regulatory agencies, and other databases.
• Reviews records for clinical pertinence and documentation to support accurate facility-based charges for services performed during the encounter.
• Communicates with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility evaluation/management (E/M) levels.
• Reviews and resolves claim edits related to outpatient encounters to ensure compliant billing, including but not limited to medical necessity and NCCI/CCI edits.
• Assists with resolution of simple visit coding errors related to other outpatient visits as needed.
• Demonstrates courtesy and professionalism through interaction, appearance, attitude, and written and oral communications with visitors, co-workers, physicians, and other hospital personnel as to represent the Medical Records Services as a high-quality service area of the Hospitals.
• Maintains patient confidentiality as required by Hospitals/departmental policy and industry/legal standards.
• Acknowledges and supports Hospitals defined goals and approach to patient care; attends regular training sessions to improve patient and customer communications.