Medical Coding Specialist – Outpatient

Sauk Prairie Healthcare

Medical coding specialist coding outpatient Emergency Department and Urgent Care services for Sauk Prairie Healthcare. Auditing records, resolving claim edits, and supporting accurate healthcare reimbursement.

Posted 8/14/2026full-timeRemote • Illinois, Wisconsin • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ICD and CPT coding protocols, auditing electronic medical records, and resolving claim edits. Proficient in educating staff on coding changes and maintaining up-to-date knowledge through continuing education and recertification.

Highest-signal resume keywords

ICD CodingCPT CodingElectronic Medical Record AuditingClaim Denial InvestigationAHIMA or AAPC Credentials

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Diagnostic CodingProcedural CodingNCCI Edits ResolutionOCE Edits ResolutionCharge Code CreationRevenue Cycle ManagementMedical Record AbstractionCoding Policy Development

Soft Skills

CommunicationCollaborationEducation

Tools & Technologies

Hospital Information System

Certifications & Qualifications

RHITRHIACCACCSCPC-HCPCCICCOC

Industry Keywords

HealthcareOutpatient ServicesEmergency Department CodingUrgent Care CodingClaims Processing

About the role

Key responsibilities & impact

Review medical reports and physician documentation for clinic and hospital outpatient services
Apply diagnostic and procedural codes to patient health information for claims processing, data retrieval, and analysis
Focus primarily on Emergency Department and Urgent Care coding while assisting in other areas
Assign ICD and CPT codes for ambulatory outpatient facility and professional services
Enter professional codes for Emergency Room and Urgent Care providers
Audit electronic medical records for patient, insurance, diagnosis, and procedure-code accuracy
Review and resolve NCCI and OCE edits
Communicate with clinical department directors and medical billing staff to clarify coding guidelines and resolve claim edits
Identify and communicate missed revenue opportunities to ambulatory departments
Work with business analysts to create new charge codes as needed
Investigate and timely appeal denied insurance claims
Abstract pertinent information from patient records using the hospital information system
Query physicians for documentation or code-assignment clarification
Identify coding concerns or trends and involve Revenue Cycle leadership when needed
Provide education on coding changes
Attend continuing education programs and review educational resources to maintain current knowledge and coding recertification
Assist with developing coding policies and procedures
Assist with training new employees and job shadowing
Perform other related work assignments as required

Requirements

What you’ll need

Wisconsin or Illinois residency required
Successful completion of an AHIMA- or AAPC-recognized professional coding course and/or an associate degree in a healthcare-related program
No prior experience required
Must obtain AHIMA or AAPC credentials within six months of hire and maintain the credential thereafter
Acceptable certifications include RHIT, RHIA, CCA, CCS, CPC-H, CPC, CIC, or COC
Ability to use ICD and CPT coding protocols
Ability to audit electronic medical records and resolve NCCI and OCE edits
Ability to clarify documentation and code assignments with physicians
Ability to investigate and appeal denied claims
Ability to abstract information from patient records using a hospital information system
Ability to provide coding-change education and participate in continuing education and recertification

Benefits

Comp & perks

Competitive health and dental insurance options
Flexible paid time off to balance work and life
Retirement plan with immediate vesting and employer match
Discounted membership to our state-of-the-art fitness facility
Generous tuition reimbursement
Employer provided life and disability insurance
Free parking at facility