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Outpatient Coder – Provider Based, Pro-Fee and Hospital Based
Impact AdvisorsOutpatient Medical Coder reviewing clinical documentation and assigning accurate codes for diagnoses and procedures. Ensuring compliance with payer requirements and optimizing reimbursement.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in outpatient coding, ensuring compliance with industry standards and regulations while maintaining accuracy in billing processes. Proficient in utilizing coding software and electronic health records to support efficient claims submission and minimize denials.
Highest-signal resume keywords
Certified Professional Coder (CPC)Medical Coding ExperienceICD-10-CM CodingEHR ProficiencyAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingICD-10-CMCPTHCPCSCoding GuidelinesDenials ManagementMedical TerminologyAnatomyPhysiologyCoding Edits
Soft Skills
Communication SkillsAnalytical SkillsOrganizational Skills
Tools & Technologies
EHR3MEncoderProEpicCerner
Certifications & Qualifications
Certified Professional Coder (CPC)Certified Coding Specialist (CCS)
Industry Keywords
Outpatient CodingComplianceHIPAAPayer RequirementsCoding Education
About the role
Key responsibilities & impact- Monitor Outpatient Coding work queues and unbilled accounts to support timely filing and claims submission.
- Review patient medical records to assign and sequence codes according to industry-standard coding guidelines (ICD-10-CM, CPT, HCPCS).
- Review and resolve Coding related edits (e.g., NCCI, LCD/NCD, modifier usage) to prevent first pass denials.
- Ensure coding accuracy to support correct billing and minimize claim denials or delays.
- Work closely with providers to clarify documentation and ensure coding accuracy based on organizational policy.
- Maintain up-to-date knowledge of coding guidelines, payer requirements, and regulatory changes.
- Ensure Compliance: Adhere to legal and regulatory requirements, including HIPAA, to maintain patient confidentiality and data security.
- Stay updated: Keep abreast of changes in coding standards and regulations to ensure compliance and accuracy in coding practices.
- Use electronic health records (EHR) and coding software to code services and enter data.
- Participate in coding education and training as needed.
- Follow HIPAA and confidentiality guidelines regarding patient health information.
Requirements
What you’ll need- High School Diploma or GED required, Associate’s or Bachelor’s degree in health information management or related field preferred.
- Active Certified Professional Coder (CPC) preferred, Certified Coding Specialist (CCS), or equivalent credential required.
- Minimum of 3-5 years of medical coding experience in an outpatient, or specialty setting.
- Strong understanding of medical terminology, anatomy, and physiology.
- Proficient with EHR and coding software (e.g., 3M, EncoderPro, Epic, Cerner).
- Strong attention to detail, accuracy, and organizational skills.
- Excellent communication and analytical skills.
- Denials experience strongly preferred.
Benefits
Comp & perks- Remote-friendly with flexible scheduling based on project requirements
- Additional benefits and perks may also be available, depending on the position and employment terms.