Remote Outpatient Coder II: ICD/CPT Expert

HAHHH; Worcester, Northern (MA, KY); Hybrid; USD 50,000 - 74,000; Full time

Job summary

UMass Memorial Health in Worcester, MA is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters. The role emphasizes accuracy, adherence to coding guidelines, and collaboration with the coding team.

The position requires knowledge of coding systems, payer rules, and ongoing participation in training and audits to maintain high-quality coding practices.

Qualifications

• Must have knowledge of ICD-CM (current edition) and CPT coding systems.
• Familiar with payer requirements and federal/state coding regulations.
• Excellent interpersonal and professional communication skills.
• Strong customer service orientation with attention to detail.
• Ability to work independently within established guidelines.

Responsibilities

• Interprets clinical documentation to assign ICD-CM and CPT codes as well as modifiers.
• Verifies that documentation supports the codes assigned and resolves missing chart information when needed.
• Participates in coding audits and performance improvement initiatives.
• Maintains coding accuracy rate to support optimal reimbursement and productivity standards.
• Stays current with coding updates and regulatory guidance.

Skills

ICD-CM coding

CPT coding

Auditing coding accuracy

Communication skills

Independent work

Prioritization

Problem solving

Attention to detail

Education

High School diploma or equivalent

Medical coding certification

CCS or CCS-P certification

Training in medical terminology

Job description

UMass Memorial Health in Worcester, MA is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters. The role emphasizes accuracy, adherence to coding guidelines, and collaboration with the coding team.

The position requires knowledge of coding systems, payer rules, and ongoing participation in training and audits to maintain high-quality coding practices.