Tenured Outpatient Coder, Trainer, QA, TL

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 51-200H1B No SponsorCompany Site LinkedIn

Location

United States

Posted

132 days ago

Salary

Not specified

Bachelor Degree1 yr expEnglish

Job Description

• Perform outpatient medical coding and auditing. • Ensure compliance with coding guidelines and regulations. • Collaborate with healthcare staff to resolve coding issues. • Conduct quality assurance reviews of coding practices. • Provide training and mentorship to junior coders when necessary.

Job Requirements

Bachelors degree in a related field (preferred but not always required).
Active certification in any of the following: CPC, COC, CCS (mandatory).
Minimum of 1 year experience in Outpatient Medical Coding in a clinical, BPO, or CPO set-up.
At least 3-5 years of hands-on professional coding and outpatient facility coding experience.
For senior-level roles: 5-7 years of medical coding experience (OP) with 3+ years in coding quality review or auditing.
Experience in multi-specialty coding highly preferred.
Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
Familiarity with medical necessity guidelines and payer requirements.
Proficiency in EMR/EHR platforms such as Epic, Cerner, Meditech, and 3M Encoder.
Solid background in claims denials management, including analysis, resolution, and appeals processes.
Excellent analytical and problem-solving skills.
High attention to detail and accuracy in coding and auditing.
Strong communication skills and ability to work independently or as part of a team.
Willingness to work in clinical, BPO, or CPO environments.