Outpatient Coder – Provider Based, Pro-Fee and Hospital Based

🔥 3 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Impact Advisors

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2007

🤝 B2B

🏢 Enterprise

🤖 Artificial Intelligence

B2B • Enterprise • Artificial Intelligence

Impact Advisors is a healthcare-focused consulting firm that delivers tech-enabled performance improvement services to health systems, hospitals, and health plans. They provide strategy and operational consulting across clinical, financial, and technical domains—including revenue cycle, workforce and supply chain optimization, clinical quality improvement, EHR/ERP implementations, IT modernization, cybersecurity, and data & AI—aimed at measurable, sustainable value and capability transfer to client teams. Impact Advisors emphasizes collaborative implementation, measurable ROI, and long-term sustainability of improvements.

📋 Description

• 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

• 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

• Remote-friendly with flexible scheduling based on project requirements • Additional benefits and perks may also be available, depending on the position and employment terms.