Outpatient Acute Care Coder - Emergency

Quorum Health Corporation; Brentwood (TN); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Quorum Health Corporation is seeking an Outpatient Acute Care Coder - Emergency to join our remote team. You will assign ICD-10-CM, CPT, and HCPCS codes for outpatient encounters, ensuring proper billing and compliance with AHIMA standards.

The role supports various outpatient settings and requires proficiency with 3M encoder and CMS guidelines. Qualified candidates typically have 1–3 years in acute care coding, active AHIMA/AAPC certification, and strong communication skills.

Qualifications

• 1–3 years’ experience coding in acute care.
• AHIMA or AAPC certification such as RHIA, RHIT, CCS, CPC, CIRCC, COC.
• 3M360 experience.
• Excellent verbal and written communication, ability to meet deadlines.

Responsibilities

• Review outpatient medical documentation to assign appropriate ICD-10-CM, CPT and HCPCS codes.
• Match coding area to experience (Same Day Surgery, Routine Outpatient, Physician, Recurring, Observation, etc.).
• Review encounters and sequence diagnoses/procedures with modifiers per official guidelines and CMS guidance.
• Research EMR for additional diagnoses to meet medical necessity and ensure proper coding and billing.

Skills

Verbal and written communication

EMR knowledge

Deadline-driven

Education

Associates or Bachelors in Health Information or related field

Tools

3M encoder

Job description

Description

Outpatient Acute Care Coder - Emergency

You must reside in one of these states to be eligible for this position:

Arkansas California Kentucky
Massachusetts Nevada New Mexico
Oregon Utah Tennessee
Texas Wyoming

Responsible for assigning appropriate diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, ICD-10-PCS, CPT, HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA.

Employment Type: Full Time
Location: Remote
Reports To: Coding Operations Manager

Job Summary:

• The Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance.
• Will match outpatient coding area to experience (i.e. Same Day Surgery, Routine Outpatient, Physician, Recurring, Observation, etc.)
• Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures
• Using 3M encoder, reviews Ambulatory Payment Classifications (APC) and coding edits. Reviews Local/National Coverage Determination (LCD/NCD) edits and guidance for codes meeting medical necessity. Research electronic medical record for any additional diagnoses documented to meet medical necessity.
• Ability to assign Physician E/M levels and charges for all relevant procedures performed in various settings, if applicable.
• Ability to assign injections and infusions, if applicable.

Qualifications:

• One to three years’ experience performing medical record coding in acute care setting required.
• High school diploma or equivalent is required.
• Associate of bachelor’s degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed preferred. Years of coding experience will be considered in lieu of educational requirements.
• Functional Knowledge of EMR (Electronic Medical Record), Encoder and CDI Tools and other Support Software.
• Comprehensive understanding of UHDDS guidelines, CCI Edits, Coding Clinic, etc.
• Excellent verbal and written communication skills.
• Ability to meet assigned deadlines.

Work Experience, Education, and Certifications:

• 1 year of Acute/Physician Coding Experience.
• AHIMA or AAPC Certification required such as RHIA, RHIT, CCS, CPC, CIRCC, COC
• 3M360 experienced required.
• Competitive salary and benefits package.
• Opportunities for professional development and advancement.
• Supportive work environment with a collaborative team.
• Comprehensive healthcare coverage.
• Retirement savings plan.
• Paid time off and flexible scheduling options.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.