- The hospital is seeking an experienced Senior Outpatient Medical Coder to join a centralized clinic coding unit supporting a high-volume, multispecialty outpatient environment
- This role focuses on professional fee, technical fee, surgical, and resident coding, with a strong emphasis on compliance, data quality, and reimbursement accuracy
- Hours: 7:00 AM – 3:30 PM
- Duration: 13 weeks with possible extension
- Internal Medicine (all specialties including HemOnc, General Medicine, Endocrinology, Cardiology, Pulmonary, and others)
- Outpatient office services, including E/M and in-office procedures
- Under general supervision, the incumbent independently performs coding of patient records to support accurate physician, technical, supply, surgical, and resident billing and reimbursement while ensuring full compliance
- Work is performed in a centralized clinic coding unit and may include two or more of the following: professional fees, technical fees, multispecialty coding, surgical coding, and resident staff coding
The role requires reviewing provider documentation prior to charge submission, identifying all billable services, resolving documentation discrepancies with providers, entering charges into online systems, managing workqueues, and performing charge reconciliation
- Review, Abstract, and Code Outpatient Records (80%)
- Review outpatient medical records and abstract medical, surgical, laboratory, pharmacy, technical, provider, demographic, and social data
- Distinguish billable services performed by providers, residents, interns, and other staff
- Identify, sequence, and code all diagnoses and procedures impacting reimbursement accurately and ethically
- Research and assign correct codes for new diagnoses and procedures
- Assign Evaluation and Management (E/M) levels using current guidelines
- Process APC charges using APC grouper tools
- Apply professional and technical coding guidelines
- Assign appropriate modifiers for both professional and technical services
- Query providers for clarification of conflicting, ambiguous, or missing documentation
- Apply state, federal, and internal coding and compliance guidelines
- Clinical Charge Entry (15%)
- Enter charges into designated charge entry systems within established standards
- Perform charge reconciliation and manage assigned workqueues
- Miscellaneous Duties (5%)
- Maintain a clean and organized work environment
- Attend mandatory coder education and training sessions
- Perform other duties as assigned
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