Hospital Outpatient Coder II - FT - Day - HIM Facility Coding Remote

Capital Health (US)

9d•$23 - $30•Remote

About The Position

Hospital Outpatient Coder 2 is responsible for accurately assigning ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers for outpatient hospital encounter types including but not limited to Emergency Room (ERs), Outpatient in a bed, Same day medicals (SMs) and Same day surgical (SDSs) records in accordance with official coding guidelines, payer policies, and facility-specific requirements. Sends queries to physicians or hospital staff, as needed, to ensure proper documentation for the appropriate assignment of codes. This role ensures complete, compliant, and timely coding to support quality reporting, accurate reimbursement, and organizational integrity.

Requirements

High school diploma or equivalent.
Certified Physician coder (CPC) or Certified Outpatient Coder (COC) preferred.
Possesses excellent organizational, interpersonal, verbal, and written communication skills.
Has vigilance and keen attention to detail.
Possesses proper phone and email etiquette for frequent hospital and private provider exchanges.
Ability to work in a fast-paced environment with ability to meet productivity and quality standards.
Thorough knowledge of medical terminology, anatomy, and physiology.
Understanding of ICD-10-CM, CPT, and HCPCS.
Knowledge and experience using an encoder, and EMR required.
Ability to work independently in a remote environment.
Ability to work under pressure.
Ability to interact effectively with other staff members to complete certain aspects of job.

Responsibilities

Codes medical record documentation for outpatient services including but not limited to Emergency Room (ERs), Outpatient in a bed, Same day medicals (SMs) and Same day surgical (SDSs).
Meets or exceeds established quality and productivity benchmarks. Assists in management of the DNFB to ensure minimal number of uncoded days
Collaborates with Clinical Documentation Improvement (CDI), billing, and revenue integrity teams to improve documentation, and optimize reimbursement. Identifies documentation gaps and escalates when clarification is needed.
Contacts providers or other staff to obtain missing documentation timely to reduce DNFB accounts.
Abstracts data with a high accuracy rate in accordance with established policy.
Participates in creating a collaborative environment to promote excellence in coding and outcomes. Adapts to changing department demands to maintain high level of performance.
Ensures compliance with medical coding policies and guidelines. Maintains coding credentials and up-to-date knowledge of outpatient coding changes.
Performs other duties as assigned.