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Facility Outpatient Coding Specialist

Ocean Health Executives

Ocean Health Executives is seeking an experienced and highly motivated Facility Outpatient Clinic Coder to support hospital-based outpatient clinic coding operations.

This role is responsible for accurate assignment of ICD-10-CM, CPT, HCPCS, and facility Evaluation & Management (E&M) levels for hospital outpatient clinic encounters while ensuring compliant reimbursement and adherence to payer and regulatory guidelines.

Responsibilities

  • Review and code hospital-based outpatient clinic encounters accurately and efficiently
  • Assign ICD-10-CM diagnosis codes, CPT procedure codes, HCPCS Level II codes, and applicable modifiers based on provider documentation and coding guidelines
  • Review clinical documentation and assign appropriate facility E&M levels for outpatient clinic encounters in accordance with organizational guidelines, CMS regulations, payer requirements, and facility charging methodologies
  • Validate supporting documentation for facility E&M level assignment, including nursing interventions, resource utilization, treatment intensity, and ancillary services provided during the encounter
  • Ensure compliant application of facility-specific E&M leveling criteria and identify documentation opportunities impacting charge capture and reimbursement
  • Ensure appropriate facility charging and outpatient reimbursement compliance
  • Review documentation for medical necessity, completeness, and coding specificity
  • Identify documentation deficiencies and communicate clarification opportunities when appropriate
  • Maintain productivity and quality standards established by the organization and client
  • Work assigned coding work queues and resolve coding edits as needed
  • Collaborate with revenue cycle, CDI, compliance, and operational teams to resolve coding and billing issues
  • Stay current with coding updates, payer requirements, and regulatory changes affecting outpatient facility services
  • Participate in quality assurance reviews and educational initiatives
Requirements & Qualifications

Qualifications

  • Minimum 3 years of outpatient facility coding experience required
  • Experience assigning hospital outpatient facility E&M levels required or strongly preferred
  • Strong knowledge of:
    • Hospital outpatient facility coding
    • Facility E&M leveling methodologies
    • CPT and HCPCS coding guidelines
    • ICD-10-CM diagnosis coding
    • Modifier assignment and outpatient reimbursement methodologies
    • CMS and payer regulatory requirements
    • Charge capture workflows and documentation review
  • Experience coding one or more of the following preferred:
    • Hospital-based clinics
    • Multi-specialty outpatient clinics
    • Observation services
    • Same-day surgery (SDS)
    • Emergency Department
    • Ancillary services
  • Familiarity with Epic or other EMR systems preferred
  • Strong attention to detail and critical thinking skills
  • Ability to work independently in a remote production environment
  • Excellent communication and organizational skills

Required Credentials

  • AHIMA Certified Coding Specialist (CCS)
  • AHIMA Registered Health Information Administrator (RHIA)
  • AHIMA Registered Health Information Technician (RHIT)
  • AAPC Certified Professional Coder (CPC)

Preferred Experience

  • Facility outpatient coding
  • Hospital outpatient reimbursement methodologies
  • Medical necessity and charge review processes
  • Denial resolution and edit work queues
  • Remote coding production environments
Benefits & Perks

Benefits

  • Flexible schedule

Location

N/A

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

Yes

Posted

1 month ago

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