Outpatient Medical Coder | Professional Fee Coder | Pro Fee Coder | Medical Coder | Patient Rec[...]

LanceSoft Inc.,; Sacramento (CA); On-site; USD 74,982; Full time

Job summary

A healthcare staffing organization is seeking a Senior Outpatient Medical Coder to support a high-volume, multispecialty outpatient environment in Sacramento, CA. This contract position involves coding for professional fees, technical fees, and ensuring accurate billing and compliance. Candidates should have relevant certifications and experience in outpatient settings. Strong skills in ICD-10-CM, CPT, and HCPCS coding guidelines are essential. The role includes reviewing medical records, identifying billable services, and ensuring data quality. This position offers a pay rate of $54.43/hour with a day shift schedule.

Qualifications

• AHIMA and AAPC coding certifications are required.
• Experience coding in an outpatient multispecialty setting is required.
• Proficiency in ICD-10-CM, CPT, and HCPCS guidelines.

Responsibilities

• Review and code outpatient medical records for accurate billing.
• Maintain coding compliance and data quality.
• Communicate effectively with providers regarding documentation.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

E/M level assignment

Medical terminology

Attention to detail

Strong communication skills

Education

AHIMA Certified Coding Specialist (CCS)

AHIMA CCS-P

AAPC Certified Professional Coder (CPC)

Tools

Epic Charge Capture

EMR systems

Quantim

Microsoft Word

Excel

Outlook

Job description

Outpatient Medical Coder | Professional Fee Coder | Pro Fee Coder | Medical Coder | Patient Records Abstractor

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📍 Sacramento, CA | 🕒 Day Shift | 📄 13 Weeks Contract with possible extension

Total Positions - 7

The hospital is seeking an experienced Senior Outpatient Medical Coder to join a centralized clinic coding unit supporting a high-volume, multispecialty outpatient environment. This role focuses on professional fee, technical fee, surgical, and resident coding, with a strong emphasis on compliance, data quality, and reimbursement accuracy.

Position Highlights

• Pay Rate: $54.43/hour
• Job Type: Contract
• Schedule: Day Shift, 5x8
• Hours: 7:00 AM – 3:30 PM
• Duration: 13 weeks with possible extension
• Start Date: January 19, 2026

Required Certification

• AHIMA Certified Coding Specialist (CCS)
• AHIMA Certified Coding Specialist – Physician-Based (CCS-P)
• AAPC Certified Professional Coder (CPC)

Required Specialty Experience

• Radiology (all modalities)
• Internal Medicine (all specialties including HemOnc, General Medicine, Endocrinology, Cardiology, Pulmonary, and others)
• Pediatrics (all specialties)
• Outpatient office services, including E/M and in-office procedures
• Strong multispecialty outpatient E/M and professional fee coding experience in both hospital-based clinic and freestanding clinic settings

Job Summary

Under general supervision, the incumbent independently performs coding of patient records to support accurate physician, technical, supply, surgical, and resident billing and reimbursement while ensuring full compliance. Work is performed in a centralized clinic coding unit and may include two or more of the following: professional fees, technical fees, multispecialty coding, surgical coding, and resident staff coding.

The role requires reviewing provider documentation prior to charge submission, identifying all billable services, resolving documentation discrepancies with providers, entering charges into online systems, managing workqueues, and performing charge reconciliation.

Key Responsibilities

Review, Abstract, and Code Outpatient Records (80%)

• Review outpatient medical records and abstract medical, surgical, laboratory, pharmacy, technical, provider, demographic, and social data
• Distinguish billable services performed by providers, residents, interns, and other staff
• Identify, sequence, and code all diagnoses and procedures impacting reimbursement accurately and ethically
• Research and assign correct codes for new diagnoses and procedures
• Assign Evaluation and Management (E/M) levels using current guidelines
• Process APC charges using APC grouper tools
• Apply professional and technical coding guidelines
• Assign appropriate modifiers for both professional and technical services
• Query providers for clarification of conflicting, ambiguous, or missing documentation
• Apply state, federal, and internal coding and compliance guidelines

Clinical Charge Entry (15%)

• Enter charges into designated charge entry systems within established standards
• Perform charge reconciliation and manage assigned workqueues
• Maintain a clean and organized work environment
• Attend mandatory coder education and training sessions
• Perform other duties as assigned

Systems & Applications Experience

• Epic Charge Capture
• EMR systems
• Mainframe applications
• Quantim
• Citrix
• Microsoft Word, Excel, and Outlook
• Internet Explorer
• HIPAA Disclosure systems

Required Knowledge & Skills

• Ability to apply ICD-10-CM, CPT, and HCPCS guidelines for single and multiple diagnoses and procedures coding
• Strong proficiency in E/M level assignment using current guidelines
• Comprehensive knowledge of medical terminology, anatomy, physiology, and disease processes
• Ability to communicate clinical and technical billing information effectively to providers and clinical staff
• Strong time management skills with the ability to meet productivity and quality standards
• Excellent written and verbal communication skills
• Adherence to AHIMA Code of Ethics and all compliance standards related to fraud and abuse