Outpatient Acute Care Coder - Emergency

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

Benefits offered by this job

Competitive salary

Comprehensive benefits

Flexible scheduling

Professional development opportunities

Job summary

Quorum Health Corporation seeks an Outpatient Acute Care Coder - Emergency to assign ICD-10-CM, CPT and HCPCS codes for outpatient encounters, ensuring accurate billing and compliance.

The coder will review documentation, select appropriate codes, and apply coding guidelines and CMS rules. Proficiency with 3M encoder and CDI tools is required to verify APCs and documentation adequacy.

Qualifications

• 1–3 years of acute care medical coding experience.
• High school diploma or equivalent required.
• Associate degree preferred or coding coursework completed.

Responsibilities

• Review hospital outpatient charts to assign ICD-10-CM, CPT and HCPCS codes.
• Match coding area to service type (Same Day, Routine, Observation, etc.).
• Apply Official Coding Guidelines and CMS/LMRP rules for accuracy.
• Use 3M encoder to verify APCs and edits, ensuring medical necessity.
• Assign E/M levels and charges for outpatient procedures when applicable.

Skills

Verbal communication

Written communication

Microsoft Office proficiency

EMR tools familiarity

Education

AHIMA/AAPC Certification (RHIA/RHIT/CCS/CPC/CIRCC/COC)

Associate degree preferred

Tools

3M360

Encoder

CDI Tools

EMR Systems

Job 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.
• Microsoft Office (Word, One Note, Excel, Outlook, PowerPoint) proficient.
• Excellent verbal and written communication skills.
• Ability to meet assigned deadlines.

Work Experience, Education, and Certifications:

• Associate degree preferred.
• 1 year of Acute/Physician Coding Experience.
• AHIMA or AAPC Certification required such as RHIA, RHIT, CCS, CPC, CIRCC, COC

Software/Hardware:

• 3M360 experienced required.

Benefits:

• 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.
• Student loan repayment program.

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.