MEDICAL CODING SPECIALIST
About the Organization
OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities. Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values of curiosity, collaboration, and continuous learning.
We offer a generous compensation package and are committed to supporting our employees’ entire well-being by fostering a healthy work-life balance and opportunity for professional advancement.
About the Role
The Outpatient Coding Specialist plays a critical role in delivering accurate and high-quality healthcare coding services to OCHIN member clinics and acute care hospital organizations. This position is responsible for identifying potential high-risk coding trends, applying best practices to optimize revenue, and enhancing coding accuracy to support a streamlined and efficient revenue cycle. The Coding Specialist proactively escalates complex or unique coding issues, collaborates with supervisors to resolve challenges, and applies newly acquired knowledge to future scenarios. Additionally, this role contributes to continuous improvement efforts by recommending process enhancements that increase operational efficiency and effectiveness.
Responsibilities
- Deliver efficient and accurate coding services on behalf of member clients, ensuring full compliance with payer requirements, organizational policies, and all applicable coding guidelines.
- Extract and interpret relevant clinical data—including diagnoses and procedures—from patient medical records and electronic health systems to support accurate code assignment.
- Review and analyze patient encounters to assign appropriate diagnosis and procedure codes, ensuring accuracy and completeness for all relevant clinical information.
- Support member organizations in achieving appropriate reimbursement by reviewing and recommending accurate code assignments that are critical to third-party payer claims.
- Conduct research and obtain additional information from providers or clinical staff via Epic In-Basket messaging, as needed and in accordance with established agreements.
- Contribute to continuous improvement efforts by recommending process enhancements that increase operational efficiency and effectiveness.
- Other duties as assigned.
Requirements
- Certificate of completion from: AAPC (CPC Certificate), AHIMA (CCS Certificate) or ADCA (CDC certificate) is REQUIRED. (Certification must be in hand at the time of your application).
- Minimum of 6 months of outpatient certified coding experience.
- Experience with FQHCs highly desired. Candidates with FQHC experience will be given priority.
Work Environment
- Constant interpersonal skills, teamwork, and customer service.
- Frequent creativity, mentoring, presentations/teaching.
- Occasional decision making and independent judgment or action.
- Reading, speaking, writing, and understanding English.
- While performing the duties of the job, the employee is regularly required to sit for long periods of time; stand and walk; use hands to finger, handle or feel; reach with hands and arms.
- This position requires a virtual home-office environment, working remotely and will require that employees be on camera for all virtual meetings.
- The role routinely uses standard office equipment such as computers and mobile devices.
Work Location and Travel
OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and many of our positions also support our member organizations on-site for new software installations. Nationwide travel is determined based on OCHIN business needs. Please inquire during the interview process about travel requirements for this position.
Work From Home Requirements
- Ability to work independently and efficiently from a home office environment.
- High-speed internet service.
- Distraction-free workplace.
Pay
$23.56 - $37.69 per hour.
Benefits
We offer a comprehensive range of benefits. See our website for details: https://ochin.org/career.
Additional Requirements
- Candidates must be legally authorized to work in the United States on a permanent basis at the time of application. This position is not eligible for employment visa sponsorship now or in the future.
- COVID-19 vaccination is required for all employees, including remote employees, contractors, interns, and new hires. Proof of full vaccination or approval for a medical or religious exemption is required before the hire date.