Outpatient Surgery Coder

Center for Health Care Strategies

Outpatient Surgery Coder at Nemours Children's Health, coding surgical and observation documentation for hospital billing and compliance. Working remotely while residing in specified U.S.

Posted 6/30/2026full-timeRemote • Alabama, Colorado, District of Columbia, Florida, Illinois, Maryland, Montana, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Ability to comprehend medical record documentation to accurately assign codes for both concurrent and discharged accounts across multiple specialties.
Meets minimum requirements for production and quality monthly.
Requires a working knowledge of code sequencing for grouper-related payers with attention to detail to avoid rework and waste with charge capture assessment component.
Requires understanding and application of M.E.A.T. criteria (i.e., monitoring, evaluation, assessment, treatment) using ICD 10 CM transaction data set to capture diagnoses.
Analyzes high-risk encounters for accurate and/or missing charges gaps prior to encounter completion (i.e., missing charges from anesthesia, surgery) when manual charge capture occurs.
Understand complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce “take backs” associated with unclear, or unsubstantiated care rendered. (i.e., varying modifier assignment for EAPG vs. Non-EAPG payer specificity)
Requires excellent coding knowledge of ICD 10 CM, CPT 4, and modifier application, with expectations to maintain certification (i.e., CCS, CPC, RHIT, or RHIA) and apply ICD 10 CM Coding Guidelines specific to both inpatient and outpatient encounters.
Facilitate modifications to clinical documentation through query interaction to ensure that the information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC), and risk adjustment factors (RAF).
Demonstrates an excellent working knowledge of hospital information systems to retrieve data specific information (i.e., order diagnosis, patient type) within a complicated filing schema including non-hospital data (i.e., Media Tab, Office Visits etc)

Requirements

What you’ll need

Minimum education of an Associate's degree required
Medical Terminology, Anatomy and Physiology required
One of the following certifications required: CPC, CCS, RHIT, RHIA, COC (please include on resume)

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible work hours
Paid time off
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medical Record DocumentationCode SequencingM.E.A.T. Criteria ApplicationModifier ApplicationBilling Requirements Understanding

Soft Skills

Attention to DetailAnalytical SkillsCommunication Skills

Certifications

CPCCCSRHITRHIACOC