Coding Specialist 3-Outpatient Multi-Specialty

About the role

This role offers an experienced outpatient medical coder the opportunity to make a meaningful impact across a broad range of ambulatory specialties while supporting one of the nation's leading academic health systems.

Responsibilities

• Independently review complex outpatient documentation and apply advanced coding knowledge to support coding accuracy, quality initiatives, and regulatory compliance across multiple ambulatory specialties including Allergy, Endocrinology, Hematology/Oncology, Infectious Disease, Internal Medicine, Nephrology, Neurology, Pulmonology, Pediatrics, and Sleep Medicine.
• Analyze clinical documentation to accurately identify services performed and appropriately link diagnoses to procedures.
• Apply expertise in medical necessity, diagnosis specificity, NCCI edits, LCD/NCD guidance, and payer-specific requirements.
• Identify documentation inconsistencies, omissions, or deficiencies and determine when provider clarification is needed.
• Conduct charge review activities and support coding quality and compliance initiatives.
• Utilize Epic, work queues, and coding review workflows to manage coding assignments and productivity expectations.
• Research and apply evolving coding, reimbursement, and regulatory guidance.
• Collaborate with providers, clinical staff, and revenue cycle teams to promote coding excellence and compliant reimbursement practices.

Requirements

• Education: High School Diploma or GED required.
• Experience: 5+ years of relevant coding experience required. Cardiac, Thoracic and Vascular surgery E&M and procedure preferred.
• Licensure: Certified Professional Coder (CPC) required.

Qualifications

• Strong understanding of clinical documentation, regulatory requirements, and payer expectations, with a focus on quality, accuracy, and compliance.
• Ability to navigate complex documentation, solve coding challenges, and serve as a subject matter expert across multiple medical specialties.

Skills

• Advanced coding knowledge for CPT, ICD-10-CM, modifiers, and E/M services.
• Expertise in medical necessity, diagnosis specificity, NCCI edits, LCD/NCD guidance, and payer-specific requirements.
• Ability to analyze clinical documentation and identify services performed and appropriate linkages to diagnoses.
• Strong communication and collaboration skills to work effectively with providers, clinical staff, and revenue cycle teams.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance, Paid Time Off, Long-term and Short-term Disability, Retirement Savings, Health Saving Plans, and Flexible Spending Accounts.
• Certification and education support, Generous Paid Time Off.

Pay and Schedule

• The pay range for this role is $26.00 - $40.57 hourly.
• Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Schedule

• This is a full-time position with remote work opportunities.