Medical Coding Specialist - Outpatient (full-time)

Sauk Prairie Healthcare; Northern (KY); On-site; USD 52,000 - 64,000; Full time

Benefits offered by this job

Health and dental insurance

Flexible paid time off

Retirement plan with immediate vesting

Tuition reimbursement

Life and disability insurance

Free parking

Job summary

Sauk Prairie Healthcare is seeking a Medical Coding Specialist – Outpatient for a 1.0 FTE, fully remote with option to work onsite. The role centers on coding outpatient and ED/urgent care encounters, ensuring precise documentation for claims and reimbursement.

You will audit records, query physicians when needed, and stay current with coding rules. Professional AHIMA/AAPC credentials within six months are required or pursued, with flexibility around remote work and onsite options.

Qualifications

• AHIMA or AAPC coding course completed or underway.
• Associate degree in healthcare-related field required or preferred.
• Ambulatory outpatient coding knowledge and accuracy emphasized.

Responsibilities

• Assigns ICD/CPT codes for outpatient services including ED/urgent care.
• Audits records for accurate patient, insurance, and coding data.
• Clarifies documentation with clinicians to ensure proper code assignment.
• Identifies missed revenue opportunities and Assist in coding policy updates.
• Participates in continuing education and credential maintenance.

Skills

Ambulatory coding

Detail-oriented

Communication

Education

AHIMA/AAPC coding course

Associate degree in healthcare-related program

Job description

## Medical Coding Specialist - Outpatient (full-time)Applyremote type: Fully Remotelocations: Remote WI - Reside in WI: Remote IL - Reside in ILtime type: Full timeposted on: Posted Todayjob requisition id: JR100604Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here.100% Remote position with option to work onsite. **Wisconsin or Illinois residency required****POSITION SPECIFICS****Title:** Medical Coding Specialist – Outpatient**FTE:** 1.0 (40 hours per week)**Schedule:** Monday to Friday, five (5) 8-hour shifts between hours of 6am and 5pm**Holiday Rotation:** None**Weekend Rotation:** None**On Call Requirements:** None**POSITION SUMMARY**Reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis.This role will primarily focus on Emergency Department and Urgent Care coding but will also assist in other areas.**POSITION TECHNICAL RESPONSIBILITIES*** Assigns codes for ambulatory outpatient services using International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding protocols, for facility and professional services. Includes professional code entry for Emergency Room and Urgent Care providers.* Audits the electronic medical record for accuracy of patient information, insurance information, appropriate diagnosis, and procedure codes to ensure accurate documentation for billing and reimbursement.,* Reviews and resolves National Correct Coding Initiatives (NCCI) and Outpatient Code Editor (OCE) edits.* Communicates with clinical department directors and medical billing staff to clarify coding guidelines and resolve claim edits.* Identifies and communicates missed revenue opportunities to ambulatory departments. Works with business analyst to create new charge codes, as needed.* As assigned, investigates denied claims from insurance carriers and appeals timely to ensure accurate reimbursement.* Abstracts pertinent information from patient records using hospital information system.* Queries physicians as needed to provide clarification on documentation or code assignment.* Identifies coding concerns or trends. As needed, involves Revenue Cycle leadership to assist with resolution.* Provides education on coding changes.* Attends continuing education programs and reviews other educational resources to keep current on any changes pertaining to this position and for coding re-certification.* Assists with developing policies and procedures related to coding.* Assists in training new employees and job shadowing.* Performs other related work assignments as required.**POSITION REQUIREMENTS****Education:*** Required: Successful completion of a professional American Health Information Management (AHIMA) or American Academy of Professional Coders (AAPC) recognized coding course and/or an Associate degree in a healthcare related program.* Preferred: Associates degree in a healthcare related program**Experience:*** Required: None* Preferred: Prior Ambulatory Coding experience preferred.**Licenses and Registrations:*** Required: None* Preferred: None**Certification(s):*** Required: Must obtain credentials through the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) in any of the following certifications within six months of date of hire and maintain such credential thereafter: + Registered Health Information Technician (RHIT) or Administrator (RHIA) + Certified Coding Associate (CCA) + Certified Coding Specialist (CCS) + Certified Professional Coder – Hospital (CPC-H) + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Outpatient Coder (COC)**BENEFIT SUMMARY*** Competitive health and dental insurance options* Flexible paid time off to balance work and life* Retirement plan with immediate vesting and employer match* Discounted membership to our state-of-the-art fitness facility* Generous tuition reimbursement* Employer provided life and disability insurance* Free parking at facility