Senior Outpatient Coder

Cortex Consultants LLC; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

Cortex Consultants LLC is seeking an experienced medical coder to accurately assign ICD-10-CM, E/M, ICD-10-PCS, CPT, and HCPCS codes based on clinical documentation. The role covers multi-specialty encounters across outpatient and inpatient settings, with strict SLA adherence and routine audits.

Candidate must hold AHIMA or AAPC certification (CCS/CCS-P/CPC/RHIA/RHIT) and ICD-10 certification, with 3+ years of coding experience and a current DoD security clearance.

Qualifications

• High school diploma or higher
• Active coding certification credentials from AHIMA or AAPC such as CCS, CCS-P, CPC, RHIA, RHIT; ICD-10 certified
• 3+ years of medical coding experience including re-coding, abstraction, analysis and data assembly
• Must maintain minimum 97% accuracy rating
• Security clearance (DOD) required, must not have unfavorable termination
• Current training and certification requirements up to date
• Experience with Windows and Office 365 tools (Word, Excel, Teams)
• Experience with multiple specialties including Behavioral Health, Cardiology, ER, Endocrinology, Gastroenterology, Hematology/Oncology, Infectious disease, Internal medicine, Nephrology, Neurology, OB/Gyn surgery, Ophthalmology, Orthopedic, Orthopedic surgery, Outpatient, Pulmonology, Rheumatology, Sleep medicine, Transplant surgery, or Vascular surgery

Responsibilities

• Accurately assign diagnoses and procedures to documents per coding guidelines
• Adhere to multi-specialty coding standards across outpatient, ER, surgery, inpatient facilities and professional rounds
• Process encounters within SLA; escalate deficiencies as needed
• Review audits and provide corrective actions after adjudication
• Complete required government system training including annual and short-notice trainings
• Meet or exceed weekly productivity and quality targets
• Coordinate with team and follow directions from Site/Project Manager

Skills

ICD-10-CM

E/M coding

ICD-10-PCS

CPT coding

HCPCS coding

Modifiers handling

Units assignment

DoD systems familiarity

MHS Genesis

JLV

Education

AHIMA or AAPC certification (CCS/CCS-P/CPC/RHIA/RHIT)

ICD-10 certification

Tools

DoD Systems

MHS Genesis

EM360

JLV

Microsoft Office 365 (Word, Excel, Teams)

Job description

• Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation.
• Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others.
• Process encounters within required SLA on contract with deficiencies identified escalated as necessary.
• Review and respond to each audit within set time window, with corrections made immediately after final adjudication.
• Complete training on all government systems, including all annual and short notice training.
• Meet or surpass weekly Productivity and Quality targets.
• Coordinate and collaborate with team members and follow directions provided by the Site Manager/Project Manager.

Qualifications

• High School Diploma or higher degree.
• Active coding certification credentials from AHIMA or AAPC such as CCS, CCS-P, CPC, RHIA, or RHIT. Initial and annual proof of active certification is required. Must be ICD-10 certified.
• 3+ years of experience with medical coding, re-coding, abstraction, analysis, and assembly of medical record data.
• Demonstrated ability to maintain minimum accuracy rating of 97%
• Ability to secure a DOD security clearance, must not have been unfavorably removed from a government position.
• Current on required training and certification requirements.
• Experience with Microsoft Windows and Office 365 applications including Word, Excel, Teams and others.
• Ability to work in a private and secure area while protecting PHI/PII and meeting HIPAA requirements.
• Experience with DoD Systems. MHS Genesis, EM360, or JLV (preferred).
• Experience in multiple specialties including Behavioral Health, Cardiology, ER, Endocrinology, Gastroenterology, Hematology/Oncology, Infectious disease, Internal medicine, Nephrology, Neurology, OB/Gyn surgery, Ophthalmology, Orthopedic, Orthopedic surgery, Outpatient, Pulmonology, Rheumatology, Sleep medicine, Transplant surgery, or Vascular surgery.