Outpatient Coder

Westchester Medical Center; Town of Warwick (NY); On-site; USD 46,000 - 58,000; Full time

Job summary

Good Samaritan Hospital in Suffern, NY seeks a Full Time Health Information Management coder to code outpatient records using ICD-10-CM, CPT and HCPCS. Responsibilities include data entry, coding accuracy, and supporting APC/APG assignment with clear documentation.

Requirements include at least one year of outpatient coding experience, a high school diploma (an Associate/Bachelor in Health Information Management may substitute for one year of experience), and AHIMA CCS/CCS-P or CPC credentials.

Qualifications

• Minimum of one year of outpatient medical records coding experience.
• Thorough knowledge of ICD-10-CM, CPT and HCPCS coding systems.
• Strong medical terminology, anatomy and physiology.
• Ability to communicate effectively in writing and verbally.
• Proficient with computer systems and automated databases.

Responsibilities

• Assign and record codes for diagnoses and procedures using ICD-10-CM, CPT and HCPCS.
• Ensure accurate APC/APG determination and proper diagnosis ranking.
• Contact physicians or staff to clarify documentation as needed.
• Enter final codes and narratives into the automated grouper system.
• Respond to inquiries about coding from hospital staff and management.
• Abstract data from records to compile reports and statistics.
• Enter data on hospital-wide or regional databases for tracking.

Skills

ICD-10-CM

CPT Coding

HCPCS

Medical terminology

Communication

Education

High school diploma or equivalent

Associate or Bachelor’s degree in Health Information Management

Job description

Department: Health Information Management

Union: NO

Position: Full Time

Hours: 37.50

Shift: Days

Posted Date: Sep 25, 2026

Hiring Range: $23.49 - $29.54

The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD 10 CM), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and entering coded information into an automated grouper system. Does related work as required.

Responsibilities:

• Using the current HCPCS, ICD 10 CM and CPT coding systems, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patient's medical record.
• Ensures that all factors necessary for assigning an accurate APC/ APG’s are present, and that all diagnoses are ranked properly.
• Makes appropriate contacts in order to acquire or clarify necessary information.
• Enters final diagnostic code numbers and narrative descriptions of diagnoses and procedures into an automated grouper system.
• Provides information to and responds to inquiries regarding medical documentation, coding, and APCs/APGs from hospital staff, including utilization and quality assurance staff, patient accounts staff and the Risk Manager.
• Abstracts information from medical records to compile reports and statistical information.
• Enters data such as diagnosis, treatment, admission and discharge dates, length of stay, etc., on hospital-wide or regional automated database.

Experience:

Minimum of one year of experience where the primary function of the position was outpatient medical records coding in or for a hospital.

Education:

High school or equivalency diploma, required. An Associate's degree or Bachelor's degree in health information management may be substituted for one year of the required experience.

Licenses / Certifications:

Current certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Based (CCS-P) through AHIMA, or as a Certified Professional Coder (CPC) through the American Academy of Professional Coders.

Other:

Thorough knowledge of the current HCPCS, CPT and ICD codes; thorough knowledge of medical terminology, anatomy and physiology; ability to understand and code medical records; ability to communicate effectively both verbally and in writing; ability to effectively use computer applications or other automated systems such as spreadsheets, word processing, calendar and e‑mail for performing work assignments; ability to read, write, speak, understand, and communicate sufficiently to perform the essential duties of the position.

Special Requirements:

N/A

About Us:

Good Samaritan Hospital in Suffern, NY, is a 286-bed hospital providing emergency, medical, surgical, obstetrical/gynecological and acute-care services to residents of Rockland and southern Orange counties in New York; and northern Bergen County, NJ. The hospital is home to a recognized cardiovascular program, comprehensive cancer-treatment services, the area’s leading Wound and Hyperbaric Institute and outstanding maternal/child services that includes a Children’s Diagnostic Center. Good Samaritan Hospital also provides social, psychiatric and substance-abuse services and its certified home-care agency supports residents of the Hudson Valley and beyond.

We offer a comprehensive compensation and benefits package that includes: