Outpatient Coder

Who We Are

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.

How We Work:

• East Coast Alignment: Our core operational and collaboration hours follow the Eastern Time Zone (ET), keeping our workflows synchronized with our primary clients and systems.

Why Join Us?

• Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.
• Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.
• A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous improvement.
• Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.

Job Requistion:

Work Arrangement :

Remote

Compensation Range:

$17.55 - $26.33

The Role:

Your Mission: As our next Outpatient Coding Specialist , you’ll be responsible for accurately coding complex outpatient claims across Emergency Department, Outpatient Surgery, Observation Services, and specialty areas, including oncology, interventional radiology, pain management, and cardiology. You’ll select and sequence appropriate diagnosis and procedure codes in accordance with official ICD-10-CM and CPT coding guidelines, manage claim edit work queues, and maintain advanced coding knowledge through ongoing professional development and required continuing education.

What You'll Do Day-to-Day:

• Assign ICD-10-CM diagnosis and CPT procedure codes for complex outpatient services, including Emergency Department, Outpatient Surgery, Observation Services, oncology, interventional radiology, pain management, and cardiology.
• Ensure accurate code assignment and sequencing in accordance with official coding guidelines, government regulations, and payer requirements.
• Support accurate capture and reporting of data fields, including discharge disposition.
• Manage coding claim edit work queues to support timely filing and prompt revenue capture.
• Apply appropriate coding modifiers in accordance with coding, billing, and payer requirements.
• Query medical staff to clarify incomplete, insufficient, or unclear documentation.
• Participate in coding audits, review feedback promptly, and apply findings to support continuous improvement.
• Navigate Epic coding workflows, work queues, coding edits, and claim edit resolution processes.
• Meet established performance standards for coding accuracy, productivity, and coding-related denials while supporting revenue cycle efficiency and timely claim submission.
• Work independently from assigned Epic work queues, escalate coding compliance concerns to Coding Leadership, and route charts to appropriate follow-up work queues as needed.
• Perform other duties as needed to support organizational and departmental needs.

Who You Are & What You’ll Bring:

• Strong knowledge of ICD-10-CM and CPT coding classifications and official coding guidelines.
• Proficiency in assigning coding modifiers in accordance with coding, billing, and payer requirements.
• Ability to interpret medical documentation, identify discrepancies, and communicate effectively with medical staff to resolve coding questions.
• Familiarity with hospital coding workflows, revenue cycle processes, claim edits, and denial prevention.
• Strong attention to detail, organizational skills, and the ability to manage assigned work queues independently while meeting productivity and quality standards.
• Proficiency with computer applications, including 3M Encoder and Microsoft Teams.

Education:

High school diploma required; an associate degree in Health Information Management or a related field is preferred.

Certifications:

AHIMA or AAPC coding certification required.

Proven Track Record:

One (1) or more years of hospital coding experience preferred.

Epic coding experience preferred.

Demonstrated ability to maintain coding accuracy, meet productivity standards, support timely claim filing, and minimize coding-related denials.

About Xtensys Connected Health Solutions

We are new but mighty. Xtensys, a recently established managed service provider, delivers cutting-edge technology to health systems, starting in NY and expanding beyond. Owned by two industry leaders focused on innovation in rural and community health, we are rapidly growing with several major initiatives underway. We seek talented professionals to join our team of 500 and support our exciting journey. We value people and are building a culture to match. If you're a collaborative, innovative, and strategic leader, we’d love to talk.