Outpatient Medical Coder

Job Details

POSITION SUMMARY : The HIM Coding Specialist, Outpatient, is responsible for the timely and accurate coding of outpatient, ambulatory surgery, observation, recurring, rehabilitation, and skilled care accounts. This role supports optimal reimbursement and regulatory compliance through the application of ICD-10-CM, CPT-4, APC assignment, NCCI edits, modifiers, and coding guidelines while maintaining productivity, quality, and turnaround standards.

EMPLOYMENT TYPE: Direct- Hire

WORK LOCATION : Remote

SCHEDULE : Monday-Friday | 40 Hours Per Week

SYSTEMS EMR, Outlook, VitalWare, Lawson, Encoder Software, Excel

START DATE

COMPENSATION: $22.49 - $34.25/hour, based on coding experience and years of acute care outpatient coding experience.

ONSITE REQUIREMENTS (PLEASE REVIEW CAREFULLY)

Although this is a remote position, limited onsite attendance is required.

• Candidates must attend one full week of onsite orientation and training at Covenant HealthCare at the start of employment.
• Following initial onboarding and training, the position will transition to a primarily remote role.
• Candidates should expect to attend 1-2 onsite team meetings per year, which are typically one business day in duration.
• Any additional onsite attendance will be communicated in advance.
• Candidates are responsible for all travel, lodging, and other expenses associated with required onsite visits. These expenses will not be reimbursed.
• Recruiters must review and confirm these onsite requirements with candidates prior to submission.

POSITION DUTIES

• Code outpatient, ambulatory surgery, observation, recurring, rehabilitation, and skilled care accounts.
• Apply ICD-10-CM, CPT-4, APC assignment, NCCI edits, and modifiers.
• Review clinical documentation for coding accuracy and completeness.
• Maintain coding work queues and productivity standards.
• Assist with coding denials, appeals, audits, and reimbursement-related activities.
• Participate in coding quality reviews.
• Support AR reduction initiatives.
• Train and mentor new coding staff as needed.
• Maintain coding credentials and continuing education requirements.
• Partner with physicians, HIM staff, Finance, Quality, and Patient Safety departments.
• Assist with software testing, policy development, and process improvement initiatives.
• Ensure compliance with HIPAA and all applicable coding regulations.

MINIMUM REQUIRED QUALIFICATIONS

• RHIA, RHIT, or CCS required.
• Associate's or Bachelor's degree preferred.
• Knowledge of ICD-10-CM and CPT coding.
• Basic computer proficiency.
• Strong communication and organizational skills.
• Ability to work independently and meet deadlines.

PREFERRED QUALIFICATIONS

• Acute care outpatient coding experience.
• Ambulatory surgery coding experience.
• Observation coding experience.
• APC assignment experience.
• Experience utilizing NCCI edits and modifiers.
• Experience with coding denials and appeals.
• Rehabilitation and skilled nursing coding experience.
• Experience with VitalWare, Lawson, and encoder software

REQUIRED SKILLS

• Acute Care Outpatient Coding
• ICD-10-CM
• CPT-4
• APC Assignment
• NCCI Edits
• Coding Modifiers
• Outpatient Facility Coding
• Revenue Cycle Knowledge
• Coding Compliance
• Denials & Appeals Experience Preferred

LICENSES / CREDENTIALS

• RHIA, RHIT, or CCS Required

PRODUCTIVITY EXPECTATIONS

• Maintain assigned coding work queues.
• Meet established productivity standards.
• Maintain timely account turnaround.
• Maintain coding accuracy in accordance with facility standards.
• Adhere to all coding guidelines, compliance standards, and reimbursement regulations.

BENEFITS

• Covenant HealthCare offers a comprehensive employee benefits package. Benefit eligibility and details will be reviewed directly with candidates during the interview process.

ADDITIONAL NOTES

• Strong outpatient facility coding experience required.
• Experience with ambulatory surgery, observation, APC assignment, and NCCI edits preferred.
• Candidate should demonstrate strong productivity and quality metrics.
• Familiarity with VitalWare, Lawson, and encoder technology preferred.
• Experience with coding denials and appeals is a plus.
• Overtime Rate: 1.5x
• Dress Code: Business Casual
• Quick Start Available: Yes, ASAP

Benefits

Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary-but the perks don't stop there. There are many additional benefits to enjoy, including:

• Medical, dental and vision benefits
• Earned time off and paid holidays
• Paid continuing education time
• 401(K) retirement planning
• Short-term disability, life insurance, paid jury duty
• Access to the largest network of facilities and providers in the country
• Industry experienced workforce management team
• Licensure and certification reimbursement

About Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.