Medical Coding Specialist Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Core Responsibilities
Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.
Minimum Qualifications
Credentials: CPC, CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits. Familiarity with CMS guidelines and outpatient workflows.
Client & Specialty Alignments
Service Areas: Recurring/Outpatient Clinics. Specialty Expectations: Coders will see a wide range of specialties (Infusion, Oncology, Neurology, Ophthalmology, Dermatology, Dental, PC, Urgent Care, Cardiology, Surgical, GI, etc.)
Work Model & Employment Tracks
Work Model: 100% remote, independent, production-focused environment with collaboration across coding, audit, and client teams. Full-Time (FT): Standard production aligned to client or project needs. Part-Time / PRN / Project-Based: Flexible support for backlog, specialty coverage, or targeted initiatives. Note: Some positions may require evening or weekend coverage based on client needs or project scope.
Why Sage Clinical RCM
National exposure to diverse, high-acuity health systems and specialties. Quality-first culture with realistic expectations (not volume-only). Flexible work options (FT, PT, and PRN). Opportunity to expand into other audit, education, and advisory services.