Medical Coder - Outpatient - HIM HB Coding

About the role

Medical Coder-Outpatient is responsible for reviewing and coding outpatient medical records and documentation for healthcare services rendered. This role ensures that all diagnoses, procedures, and services provided in an outpatient setting are accurately coded using standardized coding systems (ICD-10, CPT, HCPCS). The coder will ensure compliance with insurance requirements, governmental regulations, and industry standards to facilitate correct reimbursement and support the accurate billing process.

Responsibilities

• Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with regulations, payer policies, and guidelines.
• Work with billing teams to prepare and submit claims, resolving any coding-related denials.
• Collaborate with healthcare providers to clarify documentation and ensure proper code assignment.
• Stay current on coding updates and payer requirements.
• Demonstrate effective communication and response using systems available to both the Hospital Coder and management through telephone and email communication.
• Demonstrate effective use of required software.

Requirements

• High school diploma/GED and one (1) year of medical coding experience.
• One of the following medical coding certifications from AHIMA or AAPC: RHIT, RHIA, COC, CIC, CCA, CCS or CCS-A, CCS-P, CPC or CPC-A.

Qualifications

Associate's degree in health information management or medical coding (preferred).

Skills

• Knowledge of electronic coding systems.
• Proficiency in ICD-10, CPT, and HCPCS coding systems; strong knowledge of outpatient healthcare services and procedures.
• High level of accuracy and attention to detail in reviewing