Outpatient Coder

Staffactory; Tyler (TX); Remote; USD 50,000 - 65,000; Full time

Job summary

Staffactory LLC seeks an Outpatient Coder for Primary Care with a remote work model. The candidate must reside in Texas, Louisiana, Arkansas, Georgia, or New Mexico and possess 2 years of coding certification with online verification.

Responsibilities include ICD-10-CM and CPT coding accuracy, data abstraction in EMR systems, and collaboration across departments to minimize denials. Experience ranges 2–5 years post-certification; strong understanding of coding guidelines and documentation is

Qualifications

• High school diploma or equivalent.
• 2 years working coding cert required.
• Online cert verification required with submission.
• 2-5 years relevant experience after coding cert obtained.

Responsibilities

• Maintain current and high-quality ICD-10-CM and CPT coding for outpatient diagnoses and procedures with 95%+ accuracy.
• Abstract data into Health EMR systems and verify patient dispositions and physician data.
• Collaborate with Admitting, Charging, patient financial services, HIM, and other departments to resolve denials and clarify documentation.
• Report to Regional Coding Manager and HIM/Coding leadership.

Skills

ICD-10-CM coding

CPT coding

EMR systems

Education

High school diploma or equivalent

Tools

Official ICD-10-CM Guidelines

CPT Guidelines

Job description

Required Education Level: High school Diploma or equivalent years of experience required Online cert verification- required with submission 2 years working coding cert required- No apprentice Statuses 3-5 years relevant experience after coding cert is obtained required Outpatient Coder- Primary Care- Remote Candidate must reside in Texas, Louisiana, Arkansas, Georgia or New Mexico to be considered Profile must include online cert verification or will be rejected Trinity Mother Frances Business Office-4542 Old Troup Highway, Tyler, TX, 75707

Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and physician documentation clarifications, to ensure accurate billing and reduce denials. Coder will also assist in other areas of the department as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM/Coding Director.

Responsibilities: Meets expectations of the applicable One Competencies: Leader of Self, Leader of Others, or Leader of Leaders.