Hospital Outpatient Coding SpecialistExpected pay for this position is $21.71-$31.48. Actual pay will be determined by experience, skills and internal equity. MDH Benefits package includes: Medical, Dental, Vision 457B and employer match for FT Employees Company paid STD and LTDJob Summary: Codes and abstracts hospital outpatient medical records, including but not limited to, emergency department encounters, outpatient surgical services, observation services, rehabilitation services, infusion, and other hospital outpatient visits, for reimbursement, data reporting, research, and compliance with applicable coding guidelines and regulatory requirements. Assigns appropriate ICD-10-CM diagnosis codes, CPT procedure codes, and HCPCS codes based on provider documentation and applicable coding guidelines. Reviews medical records for completeness, accuracy, and appropriate code assignment; identifies documentation deficiencies and coding discrepancies; and coordinates follow-up or clarification when necessary. Applies established coding standards to support accurate billing, compliant reimbursement, data integrity, and revenue cycle performance.Job SpecificationsEducation and Experience: High school diploma or equivalent required. Current coding certification from AAPC or AHIMA required. Acceptable credentials may include CPC, COC, CCS, CCA, RHIT, RHIA, or another organization-approved credential appropriate to the position. Minimum of 2-3 years of hospital outpatient coding experience required. Previous medical billing, claims processing, or revenue cycle experience is a plus. Experience with electronic health records, computerized coding and encoding software required.Abilities, Interests and TemperamentsCoding Research and Education: Ability to research coding questions using authoritative resources, apply current guidance, and participate in continuing education to maintain coding competency. Hospital Operations and Revenue Cycle: General knowledge of hospital functions and the relationship among documentation, coding, billing, reimbursement, and timely account completion. Quality Assurance: Knowledge of coding accuracy standards, auditing practices, error identification, and corrective action to maintain coding quality and consistency. Computerized Coding Systems: Ability to use electronic health records, Solventum 3M encoder software, and other coding and reference tools to research coding questions and support accurate code assignment. Coding Edits and Modifiers: Knowledge of applicable coding edits, modifiers, code-specific reporting requirements, and other rules affecting accurate hospital outpatient code assignment. Medical Necessity and Reimbursement: Understanding of medical necessity requirements, applicable payer billing rules, and the relationship between coding accuracy, reimbursement, and compliant claims submission. Medical Terminology and Anatomy: Knowledge of medical terminology, anatomy, physiology, and common disease processes sufficient to accurately interpret clinical documentation for coding purposes. Documentation Review: Ability to review medical records for complete, accurate, and consistent documentation; identify discrepancies or missing information; and determine when clarification is needed. Official Coding Guidelines and Compliance: Knowledge of applicable official coding guidelines, regulatory requirements, payer policies, and organizational coding procedures. Hospital Outpatient Coding: Knowledge of coding requirements for emergency department encounters, outpatient surgery, observation services, and other hospital outpatient visits. CPT and HCPCS Coding: Knowledge of CPT and HCPCS coding systems and their application to hospital outpatient procedures, services, supplies, and other reportable services. ICD-10-CM Coding: Knowledge of ICD-10-CM coding conventions, guidelines, sequencing requirements, and appropriate diagnosis code assignment based on provider documentation.