Coding Specialist 3-Outpatient Multi-Specialty
About The Position
Accurate clinical documentation and coding are essential to ensuring quality patient care, operational excellence, and regulatory compliance. This role offers an experienced outpatient medical coder the opportunity to make a meaningful impact across a broad range of ambulatory specialties while supporting one of the nation's leading academic health systems. As a Coding Specialist 3, you will serve as a subject matter expert in professional fee coding for, applying advanced coding knowledge to highly complex surgical, procedural, and Evaluation & Management services. This role requires a strong understanding of clinical documentation, regulatory requirements, and payer expectations, with a focus on quality, accuracy, and compliance.
Requirements
- High School Diploma or GED required.
- 5+ years of relevant coding experience required.
- Certified Professional Coder (CPC) required.
Nice To Haves
- Cardiac, Thoracic and Vascular surgery E&M and procedure preferred.
Responsibilities
- Perform detailed review and assignment of CPT, ICD-10-CM, modifiers, and E/M services for physician billing.
- Analyze clinical documentation to accurately identify services performed and appropriately link diagnoses to procedures.
- Apply expertise in medical necessity, diagnosis specificity, NCCI edits, LCD/NCD guidance, and payer-specific requirements.
- Identify documentation inconsistencies, omissions, or deficiencies and determine when provider clarification is needed.
- Conduct charge review activities and support coding quality and compliance initiatives.
- Utilize Epic, work queues, and coding review workflows to manage coding assignments and productivity expectations.
- Research and apply evolving coding, reimbursement, and regulatory guidance.
- Collaborate with providers, clinical staff, and revenue cycle teams to promote coding excellence and compliant reimbursement practices.
Benefits
- Medical, Dental, and Vision Insurance
- Paid Time Off, Long-term and Short-term Disability, Retirement Savings
- Health Saving Plans, and Flexible Spending Accounts
- Certification and education support
- Generous Paid Time Off
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
