Medical Coder (Outpatient)

DaMar Staffing; United States; On-site; USD 60,000 - 90,000; Full time

Job summary

DaMar Staffing seeks an Outpatient Coder responsible for coding and abstracting diagnoses from medical records to optimize reimbursement and quality reporting. Under general direction, you will ensure accurate facility-based charges and compliance through chart review and provider clarification.

You will interact with physicians and staff to resolve coding questions, maintain confidentiality, and support Hospital coding goals. This role emphasizes quality, productivity, and continuous training.

Qualifications

• 3+ years of outpatient coding experience with strong clinical documentation understanding.
• Familiarity with ancillary coding and coding rules across regulations.

Responsibilities

• Assign ICD-10-CM codes for medical records and diagnoses.
• Abstract key data elements for billing, regulatory reporting, and databases.
• Review records for clinical pertinence to support accurate facility charges.
• Communicate with providers to clarify documentation for accurate codes and E/M levels.
• Resolve outpatient claim edits to ensure compliant billing and medical necessity.
• Maintain patient confidentiality per policy and law.
• Attend training to improve patient and customer communications.

Skills

Outpatient coding

Ancillary coding

Productivity & accuracy

AHIMA/AAPC credentials

Procedures & techniques transfer

ICD-10-CM & CPT knowledge

Hospital info system/EMR/encoder

Chart completion standards

Quality & productivity targeting

Tools

Encoder systems

Job description

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.