Outpatient Coder

Community Health System Services LLC•Ithaca, NV

3d•$18 - $26•Remote

About The Position

Xtensys is hiring an Outpatient Coding Specialist to accurately code complex outpatient claims across Emergency Department, Outpatient Surgery, Observation Services, and specialty areas including oncology, interventional radiology, pain management, and cardiology. The role assigns and sequences diagnosis and procedure codes according to official ICD-10-CM and CPT coding guidelines, government regulations, and payer requirements. It also manages claim edit work queues, supports accurate data capture and timely claim filing, and maintains coding knowledge through professional development and required continuing education. The position is remote and works within operational and collaboration hours aligned with the Eastern Time Zone. The coder works independently from assigned Epic work queues, escalates compliance concerns to Coding Leadership, and routes charts to appropriate follow-up work queues. The role contributes to coding accuracy, productivity, denial prevention, revenue cycle efficiency, and timely claim submission.

Requirements

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 and organizational skills, with the ability to manage assigned work queues independently while meeting productivity and quality standards.
Proficiency with computer applications, including 3M Encoder and Microsoft Teams.
High school diploma required.
AHIMA or AAPC coding certification required.

Nice To Haves

Associate degree in Health Information Management or a related field preferred.
One 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.

Responsibilities

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.
Maintain advanced coding knowledge through ongoing professional development and required continuing education.