Outpatient SDS/OBS Coder - PRN AS NEEDED

About the role

The Outpatient Coder is responsible for accurately abstracting data into client electronic medical record systems, following Official ICD‑10‑CM, CPT, and HCPCS Guidelines, AMA CPT Guidelines, and CMS directives. The role includes data entry of abstracted patient information, querying physicians when appropriate, and interacting with Clinical Documentation staff as required. The coder must maintain a coding accuracy rate of 95 % or better while meeting productivity standards. Assignments can range from a few days to several months, and schedule availability must be provided a month in advance.

Responsibilities

• Assign appropriate ICD‑10‑CM, CPT, HCPCS codes and modifiers to facility‑based Ancillary, Emergency Department, Observation, and Outpatient Surgery accounts according to designated workflow.
• Abstract and enter coded data and charges for hospital statistical and reporting requirements.
• Query physicians to clarify conflicting, imprecise, incomplete, ambiguous, or inconsistent clinical information.
• Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow‑up and resolution.
• Collaborate with Clinical Documentation Improvement and Revenue Cycle teams for account reconciliation.
• Maintain required productivity and quality standards, including a coding accuracy rate of 95 % or higher.
• Uphold coding credential requirements.

Requirements

• CCS credential required.
• Same‑day surgery coding experience, including Observation.
• Minimum 5 years coding experience; experience in Trauma Level 1 and Academic Teaching facilities required.
• Legal authorization to work in the United States; visa sponsorship is not available.

Qualifications

• Strong collaboration skills and ability to work in a team environment.
• Analytic and problem‑solving abilities.
• Initiative, drive for results, and commitment to success.
• Excellent interpersonal, written, verbal, and presentation communication skills, with deep listening and attention to detail.
• Self‑motivation, self‑direction, and strong time‑management and organizational skills.

Skills

• High level of integrity and ethical judgment.
• Consistency, reliability, and meeting standards.
• Effective communication and collaboration.

Benefits

• Competitive salary.
• Full benefits package including 401(k) with company match.
• Medical, dental, vision, life, short‑term and long‑term disability insurance.
• PTO policy.

Schedule

PRN – As needed. Minimum commitment of 15‑20 hours per week. Assignments may vary from a few days to several months, with schedule availability required a month in advance.