The Inpatient/Outpatient Coder is responsible for accurately coding diagnoses, procedures, and services for inpatient and outpatient encounters in accordance with recognized coding standards and regulatory guidelines.
This role uses the 3M Encoder system along with ICD-10-CM and CPT coding resources to support accurate documentation, billing integrity, compliance, and reimbursement optimization. The position works closely with providers and hospital departments to ensure coding accuracy and support clinical documentation.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent required
- Associate degree preferred
- CCS (Certified Coding Specialist) or CPC (Certified Professional Coder) certification required
- Minimum of 2 years of hospital coding experience preferred
- Familiarity with ICD-10-CM coding principles for acute care and outpatient services preferred
- Working knowledge of coding regulations, reimbursement methodologies, and compliance standards
- Ability to communicate and collaborate effectively with physicians and clinical staff
- Commitment to staying current on coding updates, rule changes, and industry best practices
Essential Duties
- Code inpatient, emergency department, outpatient, and clinic records within established timelines
- Review medical records to identify diagnoses, procedures, and supporting documentation
- Ensure compliance with ICD-10-CM, CPT, and nationally recognized coding guidelines
- Use computerized coding and abstracting systems accurately
- Communicate with physicians and providers to obtain clarification or additional documentation
- Resolve coding-related issues and minimize unbilled account delays
- Maintain ethical coding standards and comply with federal and state regulations
- Support data integrity and reimbursement optimization
- Serve as a coding and medical necessity resource for hospital staff and physician offices
Location
North Carolina, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago