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Overview Where accuracy drives reimbursement and quality patient data. The Outpatient Coder is responsible for reviewing medical records and assigning accurate diagnostic and procedural codes using ICD and CPT classification systems in alignment with regulatory and organizational standards. This role ensures complete and compliant coding and charge entry, supports billing operations, and maintains the integrity of data for reimbursement and reporting. The coder collaborates with providers to improve documentation accuracy, identifies and resolves discrepancies within billing and abstracting systems, and contributes to continuous improvement through audits, training, and performance monitoring.
Responsibilities
Key Responsibilities
- Reviews and analyzes medical records to assign accurate diagnostic and procedural codes
- Ensures compliance with coding guidelines, regulatory requirements, and organizational policies
- Collaborates with healthcare providers to clarify documentation and improve coding accuracy
- Identifies and resolves coding discrepancies to maintain data integrity
- Supports billing operations by providing accurate coded information for claims submission
- Conducts audits of coded data and monitors productivity and quality metrics
- Provides training and guidance to staff on coding procedures and updates
Qualifications
Minimum Qualifications
- High school diploma or equivalent required
- Three (3)+ years of medical coding or health information management experience preferred
- Active coding certification required (RHIA, RHIT, CCS, CCA, CPC, or CPC-H)
- Knowledge of ICD, CPT, and HCPCS coding standards
- Understanding of medical terminology, anatomy, and physiology
- Strong attention to detail with a focus on accuracy and compliance
- Ability to review medical records and collaborate with providers to clarify documentation
