Outpatient Coding Specialist — ICD-10/CPT Expert

SUNY Downstate; New York (NY); On-site; USD 55,000 - 85,000; Full time

Job summary

SUNY Downstate Health Sciences University in New York seeks a full-time Outpatient Coding Specialist to review and code outpatient records in accordance with ICD-10-CM, CPT, and HCPCS guidelines.

The role involves abstracting relevant clinical information, assigning codes, and ensuring accurate documentation for optimal reimbursement. You will collaborate with physicians and Health Information Management staff to resolve discrepancies and maintain coding integrity.

Qualifications

• Knowledge of medical terminology, clinical documentation, and outpatient coding methodologies.
• Familiarity with healthcare reimbursement guidelines and regulatory requirements.
• Ability to analyze documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Commitment to coding accuracy, quality, and compliance.

Responsibilities

• Review outpatient records to abstract clinical information and assign ICD-10-CM, CPT, and HCPCS Level II codes.
• Assign accurate diagnosis and procedure codes based on physician documentation and findings.
• Ensure coding accuracy and compliance with coding guidelines, payer requirements, and regulations.
• Review documentation for completeness and accuracy to support proper reimbursement.
• Identify incomplete or unclear documentation and initiate physician queries as needed.
• Maintain knowledge of coding systems and reimbursement methodologies.

Skills

Medical terminology

Clinical documentation

Outpatient coding

Regulatory guidelines

Tools

ICD-10-CM

CPT

HCPCS Level II

Electronic health records

Coding applications

Job description

SUNY Downstate Health Sciences University in New York seeks a full-time Outpatient Coding Specialist to review and code outpatient records in accordance with ICD-10-CM, CPT, and HCPCS guidelines.

The role involves abstracting relevant clinical information, assigning codes, and ensuring accurate documentation for optimal reimbursement. You will collaborate with physicians and Health Information Management staff to resolve discrepancies and maintain coding integrity.