Outpatient Coder

Description

Job Title: Outpatient Coder

Company: Physician Care Coordination Consultants (PC3)

Location: Remote

Job Type: Full-time

Job Classification:

This is an exempt position under the Fair Labor Standards Act (FLSA) and is not eligible for overtime pay.

Our Mission:

Our mission is to drive financial wellness in healthcare organizations so more patients can receive the care they need.

Our Vision:

Our vision is a future where we help healthcare organizations thrive in a complex ecosystem by clearing a path to financial health.

Our Culture:

We are committed to creating a workplace where every member feels valued, empowered, and inspired to contribute their best. Together we will foster a culture that promotes work-life balance and celebrates community engagement, personal achievements, milestones, and special occasions.

Values:

• Integrity – We do what’s right, no matter what.
• Innovation – We use a harmonious blend of data, tech, and a human-centric approach.
• Compassion – We understand the stress of healthcare organizations and their patients.
• Determination – Our mission is our guiding force.
• Partnership – We build enduring relationships through listening, communication and accountability.
• Dignity – We have significant pride in each other and our work.

Job Summary:

The Outpatient Coder will provide facility outpatient coding operations, ensuring compliance with industry standards, optimizing accuracy, and enhancing revenue cycle efficiency. This role involves implementing best practices and collaborating with clients to improve coding and documentation processes.

This position reports directly to the Outpatient Coding Manager.

Supervisory Responsibilities:

This position has no direct supervisory responsibilities.

Duties/Responsibilities:

• Assign accurate ICD-10-CM, CPT, and HCPCS codes to outpatient medical records, including same-day surgery, observation, ED, clinic, and ancillary encounters.
• Ensure coding assignments meet current coding guidelines and compliance standards (CMS, AHA, AHIMA, NCCI, etc.).
• Abstract pertinent data from clinical documentation and enter into the client’s coding system or EHR.
• Review documentation to ensure it supports diagnoses, procedures, and medical necessity.
• Work directly with providers and clinical staff, as needed, to clarify documentation and resolve discrepancies.
• Contribute to audits and reviews to support client compliance, revenue integrity, and performance improvement efforts.
• Support client-specific consulting projects such as backlogs, coding quality assessments, and education initiatives.
• Maintain productivity and accuracy standards as defined by the consulting firm and/or client contracts.
• Stay up to date on coding regulations and industry changes impacting outpatient coding practices.
• Other duties as assigned.

Requirements

Knowledge/Skills/Abilities:

• Extensive knowledge of ICD-10-CM, CPT, HCPCS coding, and outpatient coding guidelines.
• Strong understanding of revenue cycle management, billing, and compliance regulations.
• Proficiency in EHR and coding software systems (e.g., Epic, 3M, Meditech, or Cerner).
• Excellent problem-solving, and communication skills.
• Ability to manage multiple projects and clients in a fast-paced consulting environment.
• Proficient in Microsoft Office applications.
• Strong interpersonal and organizational skills.

Education and Experience:

• Minimum of high school diploma.
• Valid Coding Certification (Certified Professional Coder, CPC)
• Minimum of 3 years of coding related experience

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.