Outpatient Surgery and Observations Facility Coding Specialist

CorroHealth•AL-Remote, AL

7d•Remote

About The Position

The Coding Specialist provides CPT, HCPCS, and ICD-10-CM coding services in one or more specialties, including facility coding. This position focuses on same-day surgery and observation coding, and may also involve professional fee, facility, or HCC coding. The role requires working independently from home and supporting client reimbursement needs through accurate coding and documentation review. The specialist calculates facility E/M levels using a company-created algorithm, recognizes critical care cases by patient acuity, and codes surgical procedures typical of an emergency room setting when appropriate. The role also requires interpreting coding guidelines, applying diagnosis and procedure codes accurately, and understanding how documentation affects code assignment and reimbursement. Team members must follow ethical, privacy, security, and company compliance requirements, participate in training, and maintain at least one AAPC or AHIMA credential.

Requirements

Certification through AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
At least one year of on-the-job experience.
Experience in SDS, outpatient surgery, and observation facility coding.
Regular, predictable, and punctual attendance.
Working knowledge and experience with systems such as EMR and billing systems.
A phone, reliable internet connection, and current coding materials such as CPT and ICD-10-CM references.
Ability to maintain an ongoing productivity level and accuracy rate of at least 95%.
Ability to maintain a quality score of at least 95%.
Proficiency with Microsoft Excel and Outlook, including basic spreadsheet tasks and formulas, managing email, and scheduling and attending meetings.
Effective and professional verbal and written communication skills.
Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
Ability to work from home independently in coding skills.
Regular eye-hand coordination and manual dexterity to operate office equipment.
Ability to work at a computer terminal for 6–8 hours a day and function in an environment with constant interruptions.
Ability to sit for prolonged periods.
Ability, infrequently, to lift and move materials weighing up to 20 pounds.

Nice To Haves

E/M experience.
Injections and infusions experience.
Emergency department experience.

Responsibilities

Provide coding services to support clients.
Calculate facility E/M levels using a company-created algorithm.
Recognize critical care cases based on patient acuity.
Code same-day surgery and observation cases.
Code surgical procedures typical of an emergency room setting to capture additional revenue when appropriate.
Apply ICD-10-CM diagnosis codes to the highest available level of specificity.
Accurately apply diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
Interpret coding guidelines to assign codes accurately.
Identify the importance of documentation to code assignment and reimbursement impact.
Follow AHIMA's Standards of Ethical Coding, the Company's Code of Ethics and Business Conduct, the Ethics and Compliance Program, and internal policies and procedures.
Participate in company-provided training and education.
Maintain at least one credential through AAPC or AHIMA.
Comply with privacy and security rules and protect confidential company information, including Personal Health Information.
Maintain required productivity, accuracy, and quality standards.
Perform other duties as assigned by a Leadership Team Member.