Medical Coder (Outpatient)

Pena4 Inc; New York (NY); Teletrabalho; USD 21 000 - 41 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Remote work

Part-time schedule (~20 hours)

Resumo da oferta

Pena4 Inc in New York, NY seeks a Medical Coder (Outpatient) for 100% remote, part-time (~20 hours). You will assign ICD-10-CM and CPT codes for outpatient services to support accurate reimbursement and regulatory reporting.

Requirements include five+ years HIM/outpatient facility coding, CCS or CPC, AHIMA/AAPC credentials, and EMR experience (Epic/Powerchart preferred). Start date within 1–2 weeks.

Qualificações

• Minimum of five years of HIM and outpatient facility coding experience.
• Associates degree preferred in Health Information Management or related field; higher degrees advantageous.
• CCS or CPC certification required; RHIA/RHIT/ CCS-P etc preferred.

Responsabilidades

• Review outpatient records to determine principal and secondary diagnoses, procedures, and complications.
• Assign ICD-10-CM and CPT codes for diagnoses and procedures; ensure accurate sequencing.
• Ensure documentation supports DRG/APC, SOI and ROM; obtain optimal DRG assignments.
• Query providers when documentation is incomplete or unclear; escalate as needed.
• Meet productivity and accuracy benchmarks (e.g., 95% DRG accuracy).
• Collaborate with CDI, compliance and billing teams; participate in audits and education initiatives.
• Work as part of a team to meet department and client goals; complete all assignments reliably.

Conhecimentos

Outpatient coding

Remote work

Analytical skills

Formação académica

Associates degree preferred in HIM/Health Information

Bachelor’s degree preferred

Equivalent experience considered

Ferramentas

Epic/Powerchart

3M/Nuance Clintegrity

Descrição da oferta de emprego

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Medical Coder (Outpatient)

Contractor - 1099 Professional New York, NY, US

Today Requisition ID: 1003

Salary Range: $15.00 To $30.00 Hourly

Role Overview

The Medical Coder (OP) is responsible for accurately assigning ICD-10-CM and CPT diagnosis and procedure codes for outpatient services. This role ensures coded data is complete, compliant, and supports appropriate reimbursement, quality reporting, and regulatory requirements.

• 100% REMOTE
• At least 5 years of OP facility and/or profee coding experience, required
• AHIMA or AAPC certified
• Part-time hours, approximately 20
• EMR experience preferred: Athena
• Start Date: Within 1 – 2 weeks
• Per case pay rates
• Must complete and pass an OP coding assessment test and successfully code 10-15 charts.

Key Responsibilities

Medical Coding

• Review complete outpatient medical records to accurately determine the principal and secondary diagnoses, procedures, and complications
• Assign accurate ICD-10-CM and CPT codes for diagnoses and procedures
• Accurately sequences diagnoses and procedures
• Ensure documentation supports DRG/APC assignment and severity of illness (SOI) and risk of mortality (ROM)
• Strive to obtain the optimal DRG assignments on each medical record coded with assistance of computer system
• Query providers for clarification when documentation is incomplete, inconsistent, or unclear
  • Appropriately hold accounts when more information is required for accurate code/DRG assignment
  • Contact appropriate staff, leadership or medical staff as needed
• Meet established productivity and accuracy benchmarks
  • Demonstrate a consistent level of productivity and performance
  • Achieve productivity standards for each assignment
  • Maintain a monthly coding accuracy and DRG accuracy rate of 95% or above
• Collaborate with CDI, compliance, and billing teams to resolve coding issues
• Participate in internal audits, external audits, and education initiatives
• Works as a team member to meet department and client specific goals
• Complete all assignments in conscientious and reliable manner

Compliance

• Ensure compliance with the following:
  • AHA official coding guidelines, AMA CPT guidelines, UHDDS definitions, coding clinics
  • Standards of Ethical Coding set forth by AHIMA, AAPC and CMS and other regulatory standards
  • Client-specific coding guidelines, policies and procedures except when in conflict with official coding guidelines
• Maintain confidentiality and comply with HIPAA regulations

Education & Training

• Regularly reviews coding literature to stay current on new or revised coding guidelines
• Maintains appropriate certifications from AHIMA/AAPC
• Expresses interest in and pursues continuing education

Perform additional duties as assigned and assist with other tasks as requested.

Required Skills & Qualifications

Experience:

• Minimum of five (5) years of HIM and outpatient facility coding experience

Education:

• Associates degree preferred in Health Information Management, Healthcare Administration, other healthcare related fields, or Business Administration or Management, Bachelor’s degree preferred
• Candidates with significant relevant experience and demonstrated expertise may be considered in place of formal educational requirements.

Credentials/Certifications:

• CCS or CPC required
• Additional credentials preferred (RHIA, RHIT, CCS-P, CPMA, COC, CIC, CRC)

Skills & Knowledge:

• Advanced knowledge of medical terminology and pharmacology, ICD-10-CM, CPT, HCPCS, APCs, HCCs, HACs
• Advanced knowledge of documentation standards and improvement methodologies
• Knowledge and use of grouper and encoder systems, 3M/Nuance Clintegrity preferred
• Knowledge and use of EMR’s, Epic/Powerchart preferred
• Strong organizational, analytical and problem-solving abilities and techniques
• Client relationship and management skills
• Strong proficiency in Microsoft Office
• Ability to work independently in a remote environment