The Senior Outpatient Coder is responsible for reviewing ambulatory medical records and assigning accurate diagnosis and procedure codes for FQHCs and multi-specialty provider organizations.
This role supports coding quality, documentation improvement, audit activities, and denial trend analysis while ensuring compliance with coding guidelines and payer requirements. The position reports to the Director of Revenue Integrity and works as part of an emerging coding team.
Requirements & Qualifications
Required qualifications
- High school diploma or equivalent
- CPC certification required
- 10+ years of outpatient CPT/HCPCS coding experience, preferably in a multi-specialty facility
- Prior experience working with Epic EHR required
Required skills and knowledge
- Knowledge of ICD-CM, CPT, HCPCS, and CCI edits
- Understanding of ICD-10-CM and CPT/HCPCS Official Guidelines for Coding and Reporting
- Knowledge of third-party payer requirements and federal/state coding regulations
- Experience conducting coding audits for accuracy and quality
- Experience educating providers and clinical staff on coding documentation
- Knowledge of medical record content and management
- Familiarity with teaching physician regulations, including incident to, split/shared, and attestation requirements
- Strong medical terminology knowledge
- Proficiency with Microsoft Excel, Word, and PowerPoint
- Strong communication, interpersonal, problem-solving, and organizational skills
- Ability to work accurately, efficiently, and independently in a changing environment
Location
Boston, Massachusetts, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$57,000 - $66,975
Remote work allowed
Yes
Posted
1 week ago