Outpatient Coding Specialist

Jobgether; United States; Remote; USD 25,000 - 37,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Retirement plans

Life insurance

Disability insurance

Flexible spending accounts

Paid time off

Tuition reimbursement

Student loan forgiveness

Job summary

Jobgether is partnering with a healthcare organization in the United States to hire an Outpatient Coding Specialist. This remote role involves reviewing outpatient records, assigning ICD-10-CM codes, and ensuring compliance with regulations to support claims processing and revenue cycle improvement.

You will collaborate with clinical and administrative teams, maintain coding accuracy, and pursue ongoing education in regulatory updates and coding practices.

Qualifications

• CPC/CPC-A/CCS/CCS-P/CCA certification required; AHIMA credentialing within 2 years if applicable.
• Experience in a medical center or healthcare setting preferred.
• Knowledge of ICD-10-CM coding guidelines and regulatory requirements.

Responsibilities

• Review outpatient and ancillary medical records to identify diagnoses, verify documentation, and ensure accurate code assignment and sequencing.
• Assign ICD-10-CM codes using coding software and encoder tools following guidelines and hospital standards.
• Verify medical necessity by reviewing encoder edits and CMS policies and investigating potential denials.
• Review charges in the Cerner billing system for accuracy and timely submission; communicate discrepancies to managers.
• Monitor pre-bill reports and complete coding assignments within deadlines to support revenue cycle activities.
• Participate in training to maintain coding expertise and stay updated on regulatory changes.
• Uphold AHIMA ethical coding standards and regulatory compliance.

Skills

Attention to detail

Analytical skills

Communication

Team collaboration

Education

Medical coding certification

Tools

Coding software

Encoder tools

Job description

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for an Outpatient Coding Specialist based in the United States.

The Outpatient Coding Specialist plays an essential role in ensuring the accuracy, consistency, and compliance of medical coding and billing processes. Working remotely within a healthcare environment, you will review outpatient medical records, assign appropriate ICD-10-CM diagnosis codes, and extract relevant information to support claims processing and reporting. You will help maintain coding accuracy while ensuring compliance with federal regulations and established industry standards. The role involves collaborating with clinical and administrative teams to resolve documentation and billing discrepancies. You will also contribute to revenue cycle efficiency by ensuring timely coding and supporting medical necessity reviews. This is an excellent opportunity for a detail-oriented coding professional looking to develop their expertise in healthcare revenue cycle management.

Accountabilities

• Review outpatient and ancillary medical records to identify relevant diagnoses, verify provider documentation, and ensure accurate code assignment and sequencing.
• Assign appropriate ICD-10-CM diagnosis codes using coding software and encoder tools, following official coding and reporting guidelines, Coding Clinic recommendations, and applicable hospital-specific standards.
• Verify medical necessity requirements by reviewing encoder edits and relevant CMS policies, investigating potential denials through examination of physician documentation and electronic medical records.
• Review charges in the Cerner billing system to ensure accuracy and timely submission, communicating discrepancies or issues to the appropriate department managers.
• Monitor pre-bill reports and actively contribute to revenue cycle activities by completing coding assignments within established deadlines.
• Participate in training and educational activities to maintain coding expertise, stay informed about regulatory updates, and fulfill continuing education requirements.
• Uphold professional ethical coding standards established by the American Health Information Management Association (AHIMA) and applicable industry regulations.

Requirements

• Required coding certification: CPC, CPC-A, CCS, CCS-P, or CCA. Candidates holding a CPC or CPC-A credential must obtain the AHIMA CCA credential within two years of hire.
• Candidates interested in progressing to advanced coding positions, such as Inpatient Coding Specialist or Outpatient Coding II Specialist, must obtain a CCS or CCS-P certification within two years of moving into those roles.
• Previous coding experience in a medical center or healthcare setting is preferred.
• Working knowledge of healthcare regulatory requirements, Ambulatory Payment Classifications (APCs), coding modifiers, and accounts receivable processes is an advantage.
• Familiarity with ICD-10-CM coding guidelines, medical necessity requirements, reimbursement procedures, and electronic health record systems.
• Basic computer proficiency, including fundamental PC maintenance and troubleshooting skills.
• Strong attention to detail and analytical abilities, with the capacity to review medical documentation and identify coding discrepancies.
• Excellent organizational, communication, and problem-solving skills, with the ability to collaborate effectively across clinical and administrative teams.
• Commitment to professional development, ethical coding practices, accuracy, and regulatory compliance.

Benefits

• Salary: $17.95–$26.93 per hour.
• Schedule: Full-time position, 40 hours per week, Monday through Friday, daytime schedule.
• Health coverage: Health and dental insurance for eligible employees.
• Retirement plans: Illinois Municipal Retirement Fund (IMRF), 457 plan, and 401A retirement plan.
• Financial protection: Life insurance, short-term and long-term disability coverage, and optional insurance plans.
• Flexible spending: Medical and dependent care flexible spending accounts.
• Paid time off: Paid leave benefits.
• Career development: Tuition reimbursement, student loan forgiveness opportunities, and continuing education support.
• Employee support: Employee Assistance Program.
• Additional perks and discounts: Discounts on gift shop purchases, childcare services, dietary services, and pharmacy and vision center services.