Outpatient Coder II – Complex Medical Coding Pro

Memorial Healthcare; United States; Remote; USD 60,000 - 85,000; Full time

Job summary

Memorial Healthcare System is seeking an experienced professional to perform outpatient coding across complex encounters. You will review ICD-10-CM diagnoses, CPT/HCPCS procedures, and modifiers, ensuring coding accuracy for billing and compliance.

Responsibilities include auditing documentation, querying providers for clarification, and collaborating with insurers to resolve coding issues, while upholding AHIMA standards and ongoing education.

Qualifications

• Two years hospital outpatient coding experience or completion of MHS coder intern program.
• Certification: CCS or RHIA or RHIT preferred.
• Strong knowledge of ICD-10-CM, CPT/HCPCS coding.
• Ability to review documentation from EMRs and ensure medical necessity.

Responsibilities

• Review APC/EAPG assignments and coding edits for outpatient encounters.
• Query providers to ensure accurate documentation for billing.
• Communicate coding issues to insurers and resolve billing errors.
• Maintain AHIMA coding standards and participate in continuing education.

Skills

Medical coding

AHIMA standards

CPT/HCPCS coding

Communication with insurers

Education

Certified Coding Specialist (CCS)

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Tools

Encoder software

Electronic Medical Records (EMR) systems

Job description

Memorial Healthcare System is seeking an experienced professional to perform outpatient coding across complex encounters. You will review ICD-10-CM diagnoses, CPT/HCPCS procedures, and modifiers, ensuring coding accuracy for billing and compliance.

Responsibilities include auditing documentation, querying providers for clarification, and collaborating with insurers to resolve coding issues, while upholding AHIMA standards and ongoing education.