Remote Outpatient Coder II: ICD/CPT Specialist

Hahhh; Worcester (MA); On-site; USD 60,000 - 80,000; Full time

Job summary

UMass Memorial Health is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters across the hospital system. The role focuses on accurate coding, supports reimbursement, and requires close attention to detail.

Responsibilities include verifying documentation, minimizing coding backlogs, participating in audits, and maintaining a high accuracy rate while working with billing teams.

Qualifications

• Knowledge of ICD-CM (current edition) and CPT coding systems.
• Understanding of third-party payer requirements and CMS guidelines.
• Ability to verify documentation supports codes with accuracy.
• Strong communication and organizational skills.

Responsibilities

• Interpret clinical documentation to assign ICD-CM and CPT codes for outpatient encounters.
• Verify documentation is present to substantiate codes assigned.
• Assist in resolving incomplete or missing chart documentation.
• Participate in coding audits and performance improvement programs.
• Maintain coding accuracy rate and productivity per department policy.
• Attend trainings to stay current with coding updates and guidelines.
• Coordinate with staff to address coding or documentation issues.
• Escalate unusual or questionable cases to management.
• Ensure compliance with AHA, AMA, and CMS regulations.
• Maintain ongoing communications with coding personnel for efficiency.
• Keep current with all coding updates and information.

Skills

ICD-CM coding

CPT coding

CCI edits

Healthcare payer rules

Interpersonal skills

Communication

Organizational skills

Independent work

Time management

Problem solving

Education

High School diploma or equivalent

Medical coding certification (AHIMA/AAPC)

CCS or CCS-P certification

Medical terminology training

Job description

UMass Memorial Health is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters across the hospital system. The role focuses on accurate coding, supports reimbursement, and requires close attention to detail.

Responsibilities include verifying documentation, minimizing coding backlogs, participating in audits, and maintaining a high accuracy rate while working with billing teams.