Outpatient Coder: ICD-10-CM, CPT & Reimbursement Specialist

Community Health Systems; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

Community Health Systems is seeking an Outpatient Coder to accurately assign ICD-10-CM, CPT, and HCPCS codes for outpatient services, including ED visits, OR procedures, and ambulatory care. You will ensure compliance with coding guidelines and corporate policies while supporting data integrity and accurate reimbursement.

Responsibilities include reviewing medical records, resolving denials, and collaborating with CDI and billing teams to maintain coding accuracy and productivity above 95%.

Qualifications

• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding principles.
• Understanding of LCD and NCD payer guidelines.
• Experience with EHR systems and coding software (3M, Meditech, Epic, Cerner).
• Ability to analyze and resolve coding edits and denials.
• Attention to detail and organizational skills.
• Excellent communication and problem-solving abilities with CDI and billing teams.

Responsibilities

• Review and assign ICD-10-CM, CPT, and HCPCS codes for outpatient records.
• Code spinal procedures, cardiac caths, interventional radiology, ortho, EGD/Colonoscopies, OBS and wound care.
• Support coding for observation stays, outpatient surgeries, interventional procedures, and ED visits.
• Resolve coding edits and denials and ensure compliance with policies.
• Maintain productivity and accuracy, targeting 95% accuracy and corporate benchmarks.
• Collaborate with Manager, CDI specialists, and billing teams.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

EHR systems

Denials resolution

HIPAA compliance

Education

Associate degree in Health Information Management

CCS certification (preferred)

Tools

3M

Meditech

Epic

Cerner

Job description

Community Health Systems is seeking an Outpatient Coder to accurately assign ICD-10-CM, CPT, and HCPCS codes for outpatient services, including ED visits, OR procedures, and ambulatory care. You will ensure compliance with coding guidelines and corporate policies while supporting data integrity and accurate reimbursement.

Responsibilities include reviewing medical records, resolving denials, and collaborating with CDI and billing teams to maintain coding accuracy and productivity above 95%.