Coding Specialist – Outpatient

Brown Medicine

Outpatient coding specialist assigning ICD-10-CM, CPT, and APC codes for Brown University Health. Reviewing documentation, resolving claims edits, and supporting timely billing.

Posted 8/5/2026full-timeProvidence • Rhode Island • 🇺🇸 United StatesJunior💰 $24 - $40 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in outpatient coding, including proficiency in ICD-10-CM, CPT, and E/M coding, while ensuring compliance with medical necessity and documentation standards. Maintains high accuracy and productivity in coding practices, supported by relevant certifications and knowledge of coding guidelines.

Highest-signal resume keywords

ICD-10-CM CodingCPT CodingOutpatient Coding ExperienceCoding Certification (AHIMA or AAPC)NCCI Edits Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ExtractionMedical Record ReviewCoding and Claims ResolutionDocumentation SupportQuality Standards MaintenanceBilling Issue ResolutionPatient Financial Account UpdatesCoding Knowledge MaintenanceOutpatient HCPCS KnowledgeEvaluation and Management Guidelines Knowledge

Soft Skills

Attention to DetailAbility to Work Under StressCommunication with Physicians

Tools & Technologies

3M 360 FinderEClinicalWorks

Certifications & Qualifications

Coding Certification (AHIMA or AAPC)

Industry Keywords

Outpatient CodingMedical Necessity RequirementsChargemasterNCCICCINCDOCERhode Island Hospital Facility Coding GuidelinesAncillary Medical RecordsEndoscopy Medical Records

About the role

Key responsibilities & impact

Report to the Coding Manager
Review outpatient clinical documentation and medical records
Extract data and assign appropriate ICD-10-CM, CPT, E/M, APC, chargemaster, injection, and infusion codes
Ensure documentation supports assigned codes
Use 3M 360 Finder to assign codes and resolve coding and claims edits
Apply NCCI, CCI, NCD, OCE, and medical necessity requirements
Confer with physicians for clarification and report documentation insufficiencies
Monitor outpatient uncoded reports and ensure timely coding and billing
Resolve rejected accounts, claims edit reports, and eClinicalWorks error reports
Research and resolve coding, chargemaster, medical necessity, and billing issues
Refer complex coding issues to the coding validator or supervisor
Update patient financial accounts and rebill accounts as required
Maintain coding knowledge, quality, productivity, and accuracy standards
Perform related clerical duties

Requirements

What you’ll need

High school diploma or equivalent
Successful completion of a formal coding educational program
Coding certification required from AHIMA or AAPC
One to two years of experience in outpatient coding or billing
Ability to read and understand outpatient clinic, ancillary, and endoscopy medical record documentation
Ability to meet and maintain established quality and productivity standards
Maintain an average accuracy rating of 95%
Knowledge of outpatient ICD-10-CM Official Guidelines for Coding and Reporting
Knowledge of AHA HCPCS Coding Clinics
Knowledge of NCCI edits and medical necessity requirements
Knowledge of Rhode Island Hospital Facility Coding Guidelines for adult patients
Knowledge of 1995 Evaluation and Management Guidelines for patients under 18
Ability to work under stressful conditions
Ability to sit for long periods and lift at least 25 pounds; bend, stoop, stretch, and use step-stools
No supervisory experience required; supervisory responsibility is none

Benefits

Comp & perks

Equal employment opportunity and a work environment free from unlawful discrimination and harassment
Respectful, inclusive, and equitable environment
Holistic well-being support for employees and their families
Day shift schedule
No driving required