Medical Coder - Outpatient

St. Joseph's/Candler; Savannah (GA); On-site; USD 55,000 - 75,000; Full time

Job summary

St. Joseph's/Candler in Savannah, GA seeks an Outpatient Coder (CPC/CCS) to review and analyze patient records, ensure accurate coding per CPT, HCPCS and ICD-10-CM standards. The role emphasizes accuracy, data abstraction, and timely submission for payer billing.

The position requires certification within 6 months and prefers 1 year of outpatient coding experience; associates degree in health information is preferred. On-site work with a collaborative team environment.

Qualifications

• CPC or CCS certification within 6 months of hire.
• Associates degree in health information management preferred.
• Experience in outpatient coding is preferred (1 year).

Responsibilities

• Assign codes per CPT/HCPCS/ICD-10-CM guidelines and verify documentation for accuracy.
• Abstract data elements for regulatory reporting and payer submissions.

Skills

CPC certification

CCS certification

Attention to detail

Regulatory knowledge

Education

Associates of Health Information Administration - Preferred

Tools

CPT/HCPCS/ICD-10-CM coding rules

Job description

Position Summary

Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding in accordance with accepted medical and legal standards. Responsible for reviewing physician chosen CPT, HCPCS and ICD-10-CM codes to the physicians' documentation to substantiate the level of coding, and physician specialty outpatient encounters; including, but not limited to: E/M clinic encounters, infusion services, procedures within specialty practices and the related infusion therapy suites. The Outpatient Medical Coder will abstract other data elements as required and work within the department and with the practices to obtain any necessary information to accurately and correctly code and bill claims to payers. Other tasks may include account creation and charge entry as needed.

Education

• Associates of Health Information Administration - Preferred

Experience

• 1 Year outpatient coding - Preferred
• Candidates with Apprentice status are welcome to apply to this position.

License & Certification

• Candidates are required to become a certified Coder CPC or CCS within 6 months of hire. If certification is not obtained, the staff member will be at risk of termination.

Core Job Functions

• Codes are assigned according to regulatory guidelines. Physicians are queried for missing documentation to assure accurate coding, and an account is not finalized until a response is received. Other key data elements are abstracted to provide information for regulatory reporting.
• Reviews record for additional information required for claim submission. Applies occurrence code if not captured at the time of admission.