Outpatient Coder-Remote

CHS Career Site

United States

Remote

USD 60,000 - 75,000

Full time

2 days ago
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Job summary

CHS Career Site is seeking an Outpatient Coder to accurately assign ICD-10-CM, CPT, and HCPCS codes for outpatient services, including ED visits, outpatient procedures, and interventional radiology. The role requires adherence to coding guidelines, LCD/NCD requirements, and corporate policies to support proper reimbursement and data integrity.

The ideal candidate will have 1-3 years of outpatient coding experience in an acute care setting, proficiency with EHR systems (Epic, Cerner, Meditech),

Qualifications

  • Must have a high school diploma or GED.
  • Associate degree in Health Information Management or Medical Coding preferred.
  • One year coding certification in Health Information Management preferred.
  • 1-3 years of outpatient coding experience in an acute care setting required.
  • Experience coding ED visits, outpatient procedures, interventional radiology and ambulatory surgery preferred.

Responsibilities

  • Review and assign ICD-10-CM, CPT, and HCPCS codes for outpatient records.
  • Ensure compliance with LCD/NCD and payer-specific policies.
  • Resolve coding edits and denials, maintaining compliance with standards.
  • Maintain coding productivity and accuracy targets (95%+).
  • Collaborate with CDI and billing teams to ensure accurate documentation.
  • Adhere to HIPAA privacy and security rules.
  • Utilize hospital coding software to ensure accuracy.

Skills

ICD-10-CM, CPT, HCPCS
Outpatient coding
EHR systems (Epic, Cerner, Meditech)
Attention to detail
Communication skills

Education

HS Diploma or GED
AS in HIM / Medical Coding
1-year HIM coding certification

Tools

3M coding software
Meditech
Epic
Cerner

Job description

Job Summary

The Outpatient Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for outpatient services, including emergency department visits, outpatient surgeries, observation stays, interventional radiology, wound care, and ancillary procedures. This role ensures compliance with coding guidelines, regulatory requirements, and corporate billing policies, while contributing to accurate reimbursement and data integrity. The Outpatient Coder reviews medical records and applies appropriate codes within hospital coding systems.

Essential Functions
  • Reviews and assigns appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient records, ensuring compliance with coding and billing regulations.
  • Codes a variety of outpatient encounters, including Cardiology: Cath, Stent/Angioplasty, IVUS, Pacemaker, Leadless Placement, AICD Placement, Vascular Surgery: Thrombectomy, Embolization, Angioplasty, Revascularization, A/V Fistula creation
    Interventional RAD/Spinal procedure: Pain Management (Nerve blocks, Epi Injections) Ablations, Biliary Stents, Cholangioscopy/Spyglass, Fistula, Blood Patch, Vertebroplasty, Kyphoplasty, Spinal procedures, Ortho repairs, replacements, and reconstructions.
  • Applies correct coding guidelines and payer-specific policies, ensuring adherence to LCD/NCD (Local Coverage Determination/National Coverage Determination) requirements.
  • Resolves coding edits and denials, identifying and correcting discrepancies while maintaining compliance with corporate and regulatory standards.
  • Maintains coding productivity and accuracy standards, achieving a 95% coding accuracy rate and meeting corporate benchmarks.
  • Consults with the Manager or other subject matter experts to resolve complex coding issues and discrepancies.
  • Collaborates with Clinical Documentation Integrity (CDI) specialists and billing teams, ensuring complete and accurate coding and documentation.
  • Ensures adherence to HIPAA privacy and security standards, maintaining confidentiality of patient records.
  • Utilizes hospital coding software and related tools to ensure accuracy and compliance with corporate policies.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.
Qualifications
  • H.S. Diploma or GED required
  • Associate Degree in Health Information Management, Medical Coding, or a related field preferred or
  • One (1) year coding certification in Health Information Management preferred
  • 1-3 years of outpatient coding experience in an acute care hospital or healthcare system required
  • Experience coding emergency department visits, outpatient procedures, interventional radiology, and/or ambulatory surgery preferred
Knowledge, Skills and Abilities
  • Strong knowledge of ICD-10-CM, CPT, and HCPCS coding principles and outpatient reimbursement methodologies.
  • Understanding of Local Coverage Determination (LCD), National Coverage Determination (NCD), and payer-specific coding guidelines.
  • Experience with electronic health record (EHR) systems and coding software (e.g., 3M, Meditech, Epic, Cerner).
  • Ability to analyze and resolve coding edits, rejections, and denials efficiently.
  • Strong attention to detail and organizational skills.
  • Excellent communication and problem-solving skills, with the ability to collaborate with CDI teams and billing departments.
  • Knowledge of HIPAA regulations and patient privacy standards.
Licenses and Certifications
  • Certified Coding Specialist (CCS) – AHIMA required or
  • CCA - Certified Coding Associate required or
  • RHIA - Registered Health Information Administrator preferred or
Job Info
  • Job Identification 163796
  • Job Category Health Information Mgmt
  • Posting Date 09/04/2026, 12:38 PM
  • Job Schedule Full time
  • Job Shift Day
  • Locations 4000 Meridian Blvd, Franklin, TN, 37067, US
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