Medical Coder - Outpatient

ummc; Jackson (MS); On-site; USD 50,000 - 70,000; Full time

Job summary

UMMC is seeking a Medical Coder - Outpatient to review and code outpatient medical records, ensuring accurate ICD-10, CPT, and HCPCS coding. The role supports correct reimbursement and compliant billing.

Candidates should have a high school diploma or GED, with preferred credentials including RHIT/RHIA/CCA/CCS/CCS-P/CPC and related experience in medical coding or healthcare billing.

Qualifications

• High school diploma or GED required.
• Preferred: Associate's degree in health information management or medical coding.
• One of AHIMA or AAPC certifications preferred within 1 year post-hire (RHIT/RHIA/CCA/CCS/CCS-P/CPC/CPC-A).
• Physician specialty certification from AAPC is acceptable.

Responsibilities

• Review outpatient medical records to assign ICD-10, CPT, and HCPCS codes.
• Ensure coding accuracy and regulatory compliance.
• Collaborate with billing teams to submit claims and resolve denials.
• Work with providers to clarify documentation for proper codes.
• Stay updated on coding changes and payer requirements.
• Communicate effectively with staff and management via systems available.

Skills

ICD-10 coding

CPT coding

HCPCS coding

EHR proficiency

Education

High school diploma/GED

Associate's degree in health information management or medical coding

RHIT

RHIA

CCA

CCS

CCS-P

CPC or CPC-A

Physician specialty certification from AAPC

Tools

Coding software

EHR systems

Job description

Job Requisition ID: R00052904

Job Category: Clerical and Customer Service

Organization: Rev Cycle - Outpatient

Location/s: UMMC Medical Tower

Job Title: Medical Coder - Outpatient

Job Summary

Medical Coder-Outpatient is responsible for reviewing and coding outpatient medical records and documentation for healthcare services rendered. This role ensures that all diagnoses, procedures, and services provided in an outpatient setting are accurately coded using standardized coding systems (ICD-10, CPT, HCPCS). The coder will ensure compliance with insurance requirements, governmental regulations, and industry standards to facilitate correct reimbursement and support the accurate billing process.

Education & Experience

Education and Experience Required: High school diploma/GED

Certifications, Licenses, or Registration Required: N/A

Preferred Qualifications: Associate's degree in health information management or medical coding and experience in medical coding or healthcare billing.

One of the following medical coding certifications from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is preferred post-hire within one (1) year:

• Registered Health Information Management Technician (RHIT)
• Registered Health Information Administrator (RHIA)
• Certified Coding Associate (CCA)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist- Physician-Based (CCS-P)
• Certified Professional Coder (CPC or CPC-A)
• Any Physician specialty certification from AAPC

Knowledge, Skills & Abilities

Knowledge of electronic coding systems. Proficiency in ICD-10, CPT, and HCPCS coding systems; strong knowledge of outpatient healthcare services and procedures. High level of accuracy and attention to detail in reviewing medical records and assigning correct codes.

Strong verbal and written communication skills to collaborate with healthcare professionals, insurance provider and internal departments. Proficiency in electronic health record (EHR) systems and coding software.

Responsibilities

• Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with regulations, payer policies, and guidelines.
• Work with billing teams to prepare and submit claims, resolving any coding-related denials.
• Collaborate with healthcare providers to clarify documentation and ensure proper code assignment.
• Stay current on coding updates and payer requirements.
• Demonstrative effective communication and response using systems available to both the Hospital Coder and management through telephone and email communication.
• Demonstrate effective use of required software.
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive.

Environmental and Physical Demands

Requires no exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, no handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, frequent activities subject to significant volume changes of a seasonal/clinical nature, constant work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, no lifting/carrying up to 50 pounds, no lifting/carrying up to 75 pounds, no lifting/carrying up to