Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed client expectations and are proud to be a trusted partner to many of the nation's leading healthcare organizations. Our mission to drive patient-centered, value-driven outcomes has earned us prestigious industry accolades.
Outpatient Coder - Provider Based / Pro-Fee and Hospital Based
Location
United States
Posted
10 days ago
Salary
Not specified
No structured requirement data.
Job Description
Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed client expectations and are proud to be a trusted partner to many of the nation's leading healthcare organizations. Our mission to drive patient-centered, value-driven outcomes has earned us prestigious industry accolades. To learn more about us, visit www.impact-advisors.com
Job Overview
Impact Advisors is seeking an experienced Outpatient Medical Coder to join our team. In this role, you will be responsible for reviewing clinical documentation and assigning accurate CPT, ICD-10-CM, and HCPCS codes for diagnoses, procedures, and services rendered. The coder ensures proper coding to support optimal reimbursement and compliance with Federal and State regulations and payer requirements. This role involves the evaluation of coding accuracy, identification of trends and discrepancies, and collaboration with coders, clinicians, and revenue cycle teams to improve documentation and optimize reimbursement. Effectively track coding issues or trends to escalate them to the Team Lead or Manager to ensure compliance with coding. Meets daily goals and deadlines given to ensure claims are coded for release within timely filing deadlines.
Responsibilities
- 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.
- 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.
- Coding accuracy rate greater than 95%.
- Productivity standards must be met based on specialty.
- Timely coding within 48 hours of documentation availability.
- Reduction in claim denials related to coding errors.
- Work Schedule: Remote-friendly with flexible scheduling based on project requirements.
- This position is a non-exempt hourly position, additional benefits and perks may also be available, depending on the position and employment terms.
For salaried positions, this role may also be eligible for an annual performance bonus. Additional benefits and perks may also be available, depending on the position and employment terms. This range reflects consideration of several factors, including skills, experience, training, certifications, and organizational needs.
Our People and Culture
At Impact Advisors, we cultivate a caring, fun, honest, and autonomous work environment. Our success stems from our associates' dedication and a shared mission to create a “Positive Impact.” We embrace diversity and inclusion, fostering an environment where all employees feel valued and empowered.
Join Impact Advisors and make a real difference in healthcare.
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