Senior Outpatient Coder - Remote & Impactful

Essentia Health; Duluth (MN); Remote; USD 34,000 - 50,000; Full time

Job summary

Essentia Health in the United States is seeking an outpatient coder to review clinical documentation and assign ICD-10-CM diagnoses, CPT/HCPCS procedures, and modifiers to ensure proper reimbursement for complex outpatient accounts. The role requires extensive knowledge of coding guidelines and collaboration with clinicians and operations.

The position supports remote work with a standard daytime schedule, while maintaining high-quality coding and productivity.

Qualifications

• Two (2) years of hospital outpatient coding experience.

Responsibilities

• Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and CPT/HCPCS procedural codes, and modifiers accurately reflect and support the hospital-based outpatient encounter.
• Identifies documentation clarification opportunities to ensure that documentation supports the coding and charges for the services provided. Initiates coding queries and provides feedback to clinicians
• Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided
• Works with the coding denials team for education and assists with denial prevention solutions
• Ensures outpatient accounts are coded accurately and in a timely manner
• Consistently maintains coding quality (95% accuracy) and productivity expectations
• Assists with the training of outpatient coders
• Performs related duties as required

Education

Coding program

Tools

Epic

3M Encoder

Computer Assisted Coding

Job description

Essentia Health in the United States is seeking an outpatient coder to review clinical documentation and assign ICD-10-CM diagnoses, CPT/HCPCS procedures, and modifiers to ensure proper reimbursement for complex outpatient accounts. The role requires extensive knowledge of coding guidelines and collaboration with clinicians and operations.

The position supports remote work with a standard daytime schedule, while maintaining high-quality coding and productivity.