Senior Outpatient Coding Specialist

Senior Outpatient Coding Specialist - Remote

Monday - Friday 6AM-6PM ET (28 hours/week)

We are seeking a Senior Outpatient Surgery Coder with experience in IR & Cardiology coding to join our team. This role is responsible for the accurate and timely assignment of CPT, ICD-10-CM, and applicable modifiers for IR & Cardiology procedures, ensuring compliance with official coding guidelines, payer requirements, and organizational policies. The Senior OP Surgery Coder possesses the ability to code these complex cases and contributes to quality initiatives, audits, and process improvements. The ideal candidate demonstrates knowledge of surgical anatomy, operative reports, and specialty-specific procedures, along with strong critical-thinking skills, attention to detail, and the ability to work independently while meeting productivity and quality standards. This role plays a key part in supporting revenue integrity, coding accuracy, and collaboration across audit and revenue cycle teams.

Under direct supervision accurately codes hospital Ambulatory Surgery and Observation visit records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnostic coding and CPT-4 procedure coding classification systems.

Principal Responsibilities and Tasks

• Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Identifies and assigns ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations.
• Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type.
• Maintains coding quality accuracy rate of 90%.
• Maintains productivity rate of 95%.
• Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details.
• Complies with AHIMA standards of ethical coding and coding compliance guidelines.
• Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager.

Qualifications

Education and Experience

• High School graduate or equivalent. Formal ICD-10-CM, and CPT-4 training required. Associates or Bachelor's degree preferred.
• 2 3 years outpatient coding in a healthcare setting. 2-3 years Outpatient Surgical Coding experience in a health care setting preferred.
• Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Outpatient Coder (COC).

All your information will be kept confidential according to EEO guidelines.

Compensation:

• Pay Range: $28.41 - $40.35

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