Outpatient Coding Specialist

CGH Medical Center

Outpatient Coding Specialist reviewing and coding medical records for claims processing. A role focused on ensuring compliance and accuracy in documentation and coding guidelines.

Posted 7/31/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $18 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical coding, specifically in assigning ICD-10-CM codes and adhering to coding guidelines. Proficient in claims processing, data abstraction, and understanding of federal regulations related to coding and reimbursement.

Highest-signal resume keywords

ICD-10-CM CodingCPC CredentialClaims ProcessingMedical Necessity VerificationRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10-CM Diagnosis AssignmentData AbstractionEncoder UtilizationMedical Record ReviewBilling System Verification

Tools & Technologies

Encoder SoftwarePC Maintenance

Certifications & Qualifications

CPCCCACCSCCS-P

Industry Keywords

Medical CodingClaims ProcessingFederal RegulationsAPC'sModifiersAccounts Receivables

About the role

Key responsibilities & impact

Reviews the contents of moderate to minimally complex medical records
Assigns appropriate ICD-10-CM diagnosis
Abstracts pertinent data for claims processing, data retrieval and analysis
Adheres to official coding and reporting guidelines
Maintains knowledge of pertinent federal regulations related to ancillary coding and reimbursement
Ensures that all conditions are properly documented and ordered by the provider
Utilizes the encoder to properly assign ICD-10-CM codes
Verifies medical necessity criteria by reviewing encoder edits and CMS policies
Resolves potential medical necessity denials by reviewing physician documentation
Verifies specific charges in the billing system to assure timeliness and accuracy

Requirements

What you’ll need

CPC, CCA, CCS, CCS-P credential required
Coding experience in a medical center preferred
Working knowledge of regulatory requirements, understanding of APC’s, modifiers and accounts receivables preferred
Basic PC and PC maintenance skills required

Benefits

Comp & perks

Health and Dental Insurance
IMRF (Illinois Municipal Retirement Fund)
Retirement Fund (457 and 401A Plan)
Medical and Dependent Care Flexible Spending
Life Insurance
Short and Long Term Disability
Optional Insurances
Paid Time Off
Tuition Reimbursement and Loan Forgiveness
Gift Shop Discount
CGH Day Care Discount
CGH Dietary Discount
Employee Assistance Program
CGH Pharmacy Discount
CGH Vision Center Discount