Remote Outpatient Coder - ICD-10 & Billing Expert

Rochester Regional Health; United States; Remote; USD 29,000 - 41,000; Full time

Job summary

Rochester Regional Health is seeking an Outpatient Coder to review clinical documentation and apply ICD-10-CM and ICD-10-PCS codes for billing, reporting, and compliance. You will work with AHIMA guidelines, resolve coding errors, and support workflow improvements across the coding department.

The role requires relevant coding certifications, 2+ years of experience, and the ability to work remotely with standard 8:00 AM–4:30 PM hours, Monday through Friday.

Qualifications

• Required coding certification from CCS / CCS-P / CPC / CPC-H / CMC / RHIT / RHIA / CPC-A / specialty cert.
• AHIMA-associated associate degree requires RHIT exam within 1 year of hire.
• At least 2 years of progressive coding experience in hospital or multi-specialty setting preferred.
• Full CPC certification must be obtained within 24 months if CPC-A at hire.
• For HOMECARE: HCS-D certification required within 16 months of hire.

Responsibilities

• Abides by AHIMA Standards and follows official coding guidelines.
• Reviews inpatient/outpatient records to assign ICD-10-CM/PCS codes.
• Aims for 95% productivity accuracy.
• Uses Care Connect, UDS, Clintegrity to obtain ICD-10 codes and DRG assignment.
• Formulates compliant physician coding queries when documentation is insufficient.
• Corrects failed claim errors to billing edits and assists in workflow improvements.
• Advises physicians and quality staff on documentation and reimbursement opportunities.

Education

AS: Health Information Management

Tools

Care Connect

UDS

Clintegrity

Job description

Rochester Regional Health is seeking an Outpatient Coder to review clinical documentation and apply ICD-10-CM and ICD-10-PCS codes for billing, reporting, and compliance. You will work with AHIMA guidelines, resolve coding errors, and support workflow improvements across the coding department.

The role requires relevant coding certifications, 2+ years of experience, and the ability to work remotely with standard 8:00 AM–4:30 PM hours, Monday through Friday.