Outpatient Coding Specialist II

Huntsville Memorial Hospital; Huntsville (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Huntsville Memorial Hospital is seeking a Coder II to ensure consistent and efficient outpatient claims processing and data collection, optimizing APC reimbursement. You will review, audit, and report on charge capture while maintaining patient confidentiality.

The role requires coding of IP/OP/SDC records, querying physicians when needed, and training staff on coding guidelines to support accurate outpatient reimbursement. Knowledge of ICD-10-CM, CPT, and 3M encoder is essential.

Qualifications

• Associates degree in health information services is required.
• AHIMA RHIA, RHIT or CCS certification is required.
• Strong computer skills and training in coding and reimbursement are essential.
• Ability to apply official coding guidelines during outpatient coding.

Responsibilities

• Code IP, OP, Recurring, and SDC records per ICD-10-CM and CPT rules to determine APC or DRG groupings.
• Query physicians when documentation is unclear to ensure accurate codes.
• Perform data quality reviews on outpatient encounters to validate codes and APC payment accuracy.
• Provide training on coding guidelines and documentation for outpatient reimbursement.
• Maintain confidentiality and comply with HIPAA and facility policies.

Skills

Excellent computer skills

Coding guidelines knowledge

Training in coding & reimbursement

Education

Associates degree in Health Information Services

Tools

3M encoder

APC Grouper Software

OCE edits

Job description

Huntsville Memorial Hospital is seeking a Coder II to ensure consistent and efficient outpatient claims processing and data collection, optimizing APC reimbursement. You will review, audit, and report on charge capture while maintaining patient confidentiality.

The role requires coding of IP/OP/SDC records, querying physicians when needed, and training staff on coding guidelines to support accurate outpatient reimbursement. Knowledge of ICD-10-CM, CPT, and 3M encoder is essential.