Hospital Coder II/Outpatient Coder

About Us

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.

Why Join Us?

• Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.
• Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.
• A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous improvement.
• Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.

About the Role

Your Mission: As our next Hospital Coder II/Outpatient Coder, you will be responsible for coding complex outpatient oncology claims and may also assist with other specialty outpatient areas such as interventional radiology, pain management, and cardiology. You will select applicable diagnoses and procedures, sequence codes following the ICD-10-CM and CPT official coding guidelines, and manage claim edit work queues.

Responsibilities

• Assign codes to diagnoses and procedures using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes primarily for complex oncology services or assist with other outpatient services such as interventional radiology, pain management, and cardiology.
• Assist with accurate capture and reporting of data fields such as discharge disposition.
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations as well as coding guidelines.
• Maintain coding claim edit work queues for timely filing and prompt revenue capture.
• Accurate assignment of coding modifiers for correct coding initiatives.
• Communicate (query) with the medical staff for any documentation that is insufficient and/or unclear.
• Participate in coding audits and review feedback from the audit in a timely manner.
• Collaborate on audit findings for ongoing growth and improvement.
• Understand and work Epic coding workflows, work queues, coding edits, and claim edit resolution.
• Evaluate key metrics: coding accuracy in accordance with coding guidelines, meeting coding productivity standards, and coding denials.
• Understand the role of coding in the revenue cycle and timely filing, striving to perform above standard.
• Perform other duties as needed to meet the needs of the organization/department.

Requirements

• One or more years of hospital coding oncology experience.
• Epic coding experience preferred.
• Proficiency in ICD-10-CM and CPT coding classification.
• Modifier assignment in accordance with coding, billing, and payor requirements.

Qualifications

• Two-year degree in Health Information Management or related field.
• AHIMA or AAPC coding certification required.
• Oncology service credentials preferred.

Skills

• Proficient with computer applications such as 3M Encoder and Microsoft Teams.

Work Environment

• Travel Requirements: No travel required.
• Physical Readiness: Capability for sedentary work, including sitting for long periods and occasionally exerting up to 10 pounds of force.