Certified Outpatient Coder

Certified Outpatient Coder

Position Overview

The Outpatient Coder is responsible for reviewing outpatient medical records and assigning accurate diagnostic and procedural codes. This role ensures timely coding, supports revenue cycle integrity, and partners with providers to clarify documentation when needed.

Key Responsibilities

Coding & Documentation Review

• Assign ICD-10-CM and CPT codes for outpatient records
• Ensure coding is completed within 3 days of discharge
• Maintain 98% coding accuracy and meet quality benchmarks
• Abstract and maintain complete and accurate coding records

Collaboration & Communication

• Query providers for clarification of incomplete or unclear documentation
• Work closely with physicians, nursing staff, Case Management, and Business Office
• Follow up on uncoded or delayed accounts

Quality & Compliance

• Monitor coding quality and identify error patterns
• Ensure compliance with federal and state reimbursement guidelines
• Support audits and participate in process improvement initiatives

Systems & Tools

• Utilize coding and abstracting systems such as 3M and Meditech
• Maintain productivity and turnaround time standards

Additional Contributions

• Assist with training and education for staff and providers
• Participate in departmental quality improvement efforts

Qualifications

• High school diploma or equivalent required
• CPC or COC certification (or actively working toward certification)
• Minimum 1 year of outpatient coding experience preferred
• Strong knowledge of ICD-10-CM, CPT coding, and medical terminology
• Understanding of anatomy and physiology
• Proficiency with EMR and coding systems
• Strong attention to detail, time management, and problem-solving skills
• Ability to collaborate effectively with providers and healthcare teams

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