Outpatient Specialty Coder

Ovation Healthcare

Hospital Outpatient Specialty Coder responsible for coding emergency department and clinic services. Ensure accurate coding for maximum reimbursement while maintaining compliance with regulations.

Posted 4/23/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Responsible for critical access hospital coding including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic
Ensure the timely and accurate coding of medical claims while maximizing reimbursement for services
Receive and review charge entry data from practice sites
Identify and investigate incomplete or missing charges
Abstract clinical information; translates medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems
Sequence codes according to established guidelines
Thorough analysis and interpretation of medical information, medical diagnoses, coding/classification systems, to ensure accuracy for prospective payment system reimbursement
Maintain current knowledge of coding rules and regulations as designated by the AMA, Centers of Medicare and Medicaid Services (CMS) and other payers
Maintain proficient knowledge of EHR, as well as any other systems to perform job duties
Communicate issues to management, including payer, system, or escalated account issues
Identify medical necessity denial trends and provide suggestions for resolution
May perform other billing functions including claim submission, unpaid claims follow-up, denial resolution
Participation in department meetings, in-service programs, and continuing education programs
Convey professional attitude with patients, visitors, physicians, office staff and hospital personnel
Assure confidentiality of patient information, maintaining compliance with policies and procedures
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or GED - required
Associate Degree - preferred
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) - required
Three to five years in emergency room coding, infusion coding, specialty clinic procedure coding - preferred
Two years’ experience with formal coding training - considered
Knowledge of medical terminology - required
Critical Access Hospital and/or Rural Health Clinic coding is a plus
Proficient with Microsoft Office
Demonstrated strong verbal and written communication skills
Ability to use multiple client systems and manage competing priorities

Benefits

Comp & perks

Professional development
Continuing education programs

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical codingemergency room codinginfusion codingspecialty clinic procedure codingcharge entryabstracting clinical informationcoding/classification systemsmedical terminologydenial resolutionclaim submission

Soft Skills

strong verbal communicationstrong written communicationprofessional attitudeproblem-solvingattention to detailinterpersonal skillsorganizational skillsability to manage competing prioritiesanalytical skillsconfidentiality

Certifications

Certified Professional Coder (CPC)Certified Coding Specialist (CCS)