Outpatient SDS Coder - FT Only

e4health; Pittsburgh (Allegheny County); Remote; USD 65,000 - 78,000; Full time

Benefits offered by this job

401(k) match

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short/Long-term disability

PTO

Job summary

e4health is hiring an Outpatient Coder for a fully remote US-based position. You will code outpatient encounters using ICD-10-CM, CPT, and HCPCS guidelines, with strict adherence to CMS directives and AMA CPT standards.

The role emphasizes accuracy, productivity, and collaboration with Clinical Documentation Improvement and Revenue Cycle teams. Qualified candidates will hold an AHIMA or AAPC credential and have 2+ years of US coding experience, including diverse specialties.

Qualifications

• Assign ICD-10-CM, CPT, HCPCS codes and modifiers to facility accounts per workflow (outpatient, ancillary, ED, observation, and/or outpatient surgery).
• Abstract and enter coded data and charges for hospital statistics and reporting requirements.
• Query physicians to clarify conflicting, imprecise, incomplete, ambiguous, or inconsistent information when appropriate.
• Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution.
• Coordinate with Clinical Documentation Improvement and Revenue Cycle teams for follow-up and reconciliation.
• Maintain required productivity and quality requirements.
• Maintain coding credential requirements.

Responsibilities

• Assigns appropriate ICD-10-CM, CPT, HCPCS codes and modifiers to facility-based Accounts as per designated workflow.
• Abstracts and enters coded data and/or charges for hospital statistics and reporting requirements.
• Queries physicians to clarify conflicting or incomplete information.
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution.
• Works with Clinical Documentation Improvement and Revenue Cycle teams for follow up and reconciliation.
• Maintains productivity and quality targets.
• Keeps coding credentials current.

Education

AHIMA or AAPC credential

Job description

Job Description

About e4health

At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do:

• Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth.
• Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day.
• WE GROW: We believe in win/win outcomes—when our customers win, we win.
• GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions.
• Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully.

Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our solutions streamline clinical, financial, and health information workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health.

POSITION TITLE:

Outpatient Coder

ROLE TYPE:

Full Time Only

EMPLOYMENT TYPE:

Non-Exempt

JOB SUMMARY:

The Outpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client’s information system. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Assigns appropriate ICD-10-CM, CPT, HCPCS codes and modifiers to facility-based Ancillary, Emergency Department, Observation, and/or Outpatient Surgery Accounts as per designated workflow
• Abstracts and enters coded data and/or charges for hospital statistical and reporting requirements
• Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
• Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts
• Maintains required productivity and quality requirements
• Maintains coding credential requirements

BENEFITS:

We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, vision, life, short/long term disability insurance, and PTO policy.

PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:

• This role requires prolonged periods of desk working on a computer
• Talking, hearing, and near vision are required to perform computer-based tasks and virtual communications
• Sensory perception (visual, auditory, and tactile) is essential for computer and phone use

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:

This is a remote role; work is performed in a home office environment.

e4health is an equal opportunity employer and will consider all applications without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, gender, sexual orientation, gender identity or any other legally protected category.

Applicants for U.S. based positions with e4health must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not available for this position.

Requirements

REQUIRED QUALIFICATIONS:

• Candidate must possess an approved AHIMA or AAPC coding credential
• Minimum 2 years’ coding experience required; Trauma Level 1 and Academic Teaching facility experience preferred
• Minimum 3 years coding experience within the US is required
• Same Day Surgery - Experience with coding multiple specialties such as Cardiac, Ortho, Spinal, Gen Surg to include CPT and modifiers
• Experience with Cerner, Optum, and Starr is preferred

KEY SUCCESS ATTRIBUTES:

• Integrity, passion, and ethics are required
• Demonstrates strong collaboration skills
• Has strong analytic and problem-solving abilities and techniques
• Exhibit consistent initiative with strong drive for results and success
• Demonstrate commitment to a team environment?
• Demonstrate excellent interpersonal skills
• Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
• Ability to self-motivate and self-direct
• Possess strong time management and organizational skills
• Commitment and adherence to company Core Values

CORE COMPETENCIES:

• High level of integrity & ethical judgement
• Communication
• Consistency and Reliability
• Meeting Standards