Medical Coder - Outpatient

St. Joseph’s/Candler Health System; Savannah (GA); Hybrid; USD 52,000 - 76,000; Full time

Job summary

St. Joseph’s/Candler Health System seeks an Outpatient Medical Coder to review records, ensure accurate CPT/HCPCS/ICD-10-CM coding, and support compliant billing.

Candidates should be prepared to obtain CPC or CCS within 6 months of hire and may participate in coding across E/M clinic encounters and infusion services. Associates of Health Information Administration are preferred; apprentice status is welcome to apply.

Qualifications

• Coding professionals must align with CPT/HCPCS/ICD-10-CM guidelines and payer requirements.
• Candidates are required to become a certified CPC or CCS within 6 months of hire.
• Experience as an outpatient coder is preferred but not required.

Responsibilities

• Code assigned diagnoses and procedures per regulatory guidelines.
• Review physician documentation to substantiate CPT/HCPCS/ICD-10-CM codes for accurate billing.

Skills

Medical coding

CPT coding

HCPCS coding

ICD-10-CM coding

Education

Associates of Health Information Administration - Preferred

Job description

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

• 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

1. 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.
2. Reviews record for additional information required for claim submission. Applies occurrence code if not captured at the time of admission.

Not the right fit?

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