153 outpatient complex coder jobs found

Memorial Healthcare System is seeking an experienced professional to perform outpatient coding across complex encounters. You will review ICD-10-CM diagnoses, CPT/HCPCS procedures, and modifiers, ensuring coding accuracy for billing and compliance. Responsibilities include auditing documentation, querying providers for clarification, and collaborating with insurers to resolve coding issues, while upholding AHIMA standards and ongoing education. #J-18808-Ljbffr

Northwestern Medicine is seeking a skilled medical coder to assign ICD-10-CM and CPT-4 codes for complex outpatient visits, while thoroughly reviewing records to ensure accurate coding. You will send physician queries, resolve NCCI edits with approved modifiers, and maintain performance standards, including 90% productivity and 95% quality, in a role that supports patient-first care. Competitive benefits including tuition reimbursement and loan forgiveness are highlighted for eligible hires. #J-18808-Ljbffr

Memorial Healthcare System in Miramar, FL, is seeking a qualified HIM coder to review medical records, assign ICD-10-CM codes and CPT/HCPCS modifiers for outpatient encounters, ensuring accurate coding for billing and compliance. The role requires CCS, RHIA or RHIT certifications and hospital outpatient coding experience. Candidates should maintain AHIMA standards and communicate effectively with providers and billing teams. #J-18808-Ljbffr

Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Home Care Senior Coder Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis,...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance. Responsibilities Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Research electronic medical record for any additional diagnoses documented to meet medical necessity. Codes various OP service lines for all MHS specialties that include encounters with high complexity of surgical procedures and...

Job Title: Clinical Nurse Auditor / RN Nurse Coder (Payment Integrity) Job Type: Full-Time (40 hours/week, Monday - Friday) Schedule: Standard business hours Department: Payment Integrity & Claims Audit Location: Remote About the Role We are seeking experienced, detail-oriented Registered Nurses (RNs) with strong clinical acumen and medical coding knowledge to join our growing Payment Integrity team. In this role, you will analyze flagged claims data, review complex clinical documentation, and identify potential overpayments and billing discrepancies. You will leverage your clinical expertise to validate diagnoses, assess code assignments, and make authoritative determinations on claim validity-protecting healthcare resources while ensuring accurate reimbursement. Key Responsibilities Clinical Review & Determination: Review flagged claims (both inpatient and outpatient) to evaluate the clinical validity of billed services. Make independent clinical determinations,...

To support a growing healthcare team, the full-time remote Interventional Radiology Coder will provide CPT, HCPCS, and ICD-10-CM coding for various specialties, ensuring accurate code assignment and compliance with coding guidelines. Key responsibilities Code complex and simple procedures for inpatient and outpatient charts while calculating E&M leveling Apply diagnosis and procedure codes accurately utilizing ICD-10-CM, CPT, and HCPCS standards Participate in ongoing training and maintain compliance with ethical coding standards and company policies Required qualifications Certification through AAPC (CPC or COC) or AHIMA (CCS or CCS-P) is mandatory At least 2 years of on-the-job coding experience is required Proficiency in Microsoft Excel and Outlook for managing data and communications Working knowledge of EMR and billing systems is essential Ability to maintain a productivity level and accuracy rate of 95% or higher #J-18808-Ljbffr

Job Summary The Outpatient Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for outpatient services, including emergency department visits, outpatient surgeries, observation stays, interventional radiology, wound care, and ancillary procedures. This role ensures compliance with coding guidelines, regulatory requirements, and corporate billing policies, while contributing to accurate reimbursement and data integrity. The Outpatient Coder reviews medical records and applies appropriate codes within hospital coding systems. Essential Functions Reviews and assigns appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient records, ensuring compliance with coding and billing regulations. Codes a variety of outpatient encounters, including Cardiology: Cath, Stent/Angioplasty, IVUS, Pacemaker, Leadless Placement, AICD Placement, Vascular Surgery: Thrombectomy, Embolization, Angioplasty, Revascularization, A/V Fistula creation Interventional RAD/Spinal...

Remote Work Coding Specialist Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibilities: Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. Utilizes resources and reference materials to identify appropriate codes and reference code applicability, rules and guidelines. Applies the Uniform Hospital Discharge Data Set definitions as well as any additional regulatory guidelines and/or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as documented in the medical record....

ASC–CIRCC Certified Coder (Cardiovascular / Interventional Radiology) Department: Revenue Cycle / Business Office Reports To: Revenue Cycle Manager FLSA Status: Non-Exempt Location: Remote The ASC–CIRCC Certified Coder is responsible for accurately assigning CPT®, ICD-10-CM, and HCPCS codes for cardiovascular and interventional radiology procedures performed in an ambulatory surgery center (ASC) or hospital outpatient setting. This role ensures compliant coding, appropriate reimbursement, and adherence to federal, state, and payer regulations. The coder works closely with physicians, clinical staff, billing teams, and compliance personnel to support revenue integrity and audit readiness. Key Responsibilities Assign accurate CPT®, ICD-10-CM, and HCPCS Level II codes for cardiovascular and interventional radiology procedures Apply correct modifiers in accordance with payer and regulatory guidelines Review operative reports, procedure notes, and supporting documentation to...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina Alabama Arizona Connecticut District of Columbia Florida Georgia Illinois Iowa Kentucky Louisiana Maine Michigan Missouri Montana New Hampshire Ohio Oregon Pennsylvania South Carolina Tennessee Texas Virginia Washington Now...

Job Category Health Information Management Posting Date 08/07/2026, 06:39 PM Locations 1111 Marcus Ave, Lake Success, NY, 11042, US Job Schedule Full time Internal Posting Start Date 05/22/2026 Internal Posting End Date 05/28/2026 Minimum Salary/Range* 45.9359 Maximum Salary/Range* 53.5511 Shift Days Shift Begin Time 7:00 AM Shift End Time 7:00 PM Schedule Full Time Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. Utilizes resources and reference materials (e.g., on-line sources, manuals) to identify appropriate codes and...

Job Category Health Information Management Posting Date 08/07/2026, 06:39 PM Locations 1111 Marcus Ave, Lake Success, NY, 11042, US Job Schedule Full time Internal Posting Start Date 05/22/2026 Internal Posting End Date 05/28/2026 Minimum Salary/Range* 44.1690 Maximum Salary/Range* 51.4910 Shift Days Shift Begin Time 7:00 AM Shift End Time 7:00 PM Schedule Full Time Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. Utilizes resources and reference materials (e.g., on-line sources,...

The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services. In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations. Duties & Responsibilities Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding Perform DRG validation and retrospective medical claims reviews Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations Prepare clear, detailed determination...

Practice Resources, LLC is seeking an experienced, detail-oriented Family Practice and/or Internal Medicine Coder to join our growing coding team. If you enjoy applying your coding expertise in a collaborative environment, working directly with providers, researching complex coding scenarios, and staying current with coding and compliance guidelines, we'd love to hear from you. This is a fully remote position offering flexibility, ongoing education, and the opportunity to work with a team that values coding accuracy, quality reporting, compliance, and professional development. Pay Range: $18.00-$30.00 per hour Why Join Practice Resources, LLC? Fully remote work environment Flexible scheduling Flex weeks available after training AAPC/AHIMA membership dues paid by PRL Coding books provided Access to AAPC webinars for CEUs EncoderPro and additional coding resources provided Supportive team of experienced coding professionals Opportunity to serve as a coding subject matter...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder I is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in one complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks , resolving claim edits, handling individual coding workload, working stop bills (if assigned), and sending queries, as needed, to clinical staff. EEO/AA/Disability/VeteranResponsibilities Reviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines. Reviews medical record...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.For physician billing, collaborates with billing department to ensure all bills are satisfied. For hospital, routes to billing charge entry errors and/or account...

Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations. Job Description Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on the challenge of diving into and researching proper codes...

Overview At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific guidelines. This role supports the development and implementation of payment integrity initiatives by identifying coding and billing inaccuracies, trends, and potential cost savings opportunities across outpatient facility claims. The ideal candidate has advanced knowledge of outpatient coding, APC and EAPG payment methodologies, and clinical documentation requirements, with strong analytical and auditing skills. Salary Range: $100,000 - $102,500 Responsibilities Perform detailed coding audits on outpatient facility claims to validate appropriate CPT/HCPCS, revenue codes, modifiers, and...

CorroHealth, Inc. is seeking a Coding Specialist who will provide CPT, HCPCS and ICD-10-CM coding across multiple specialties, including Professional Fee and Facility. You will code complex and simple procedures for inpatient and outpatient charts, ensuring E/M accuracy and adherence to coding guidelines. Applicants must be certified (AAPC or AHIMA) with at least 2 years of experience, proficient with EMR and billing systems, and able to work independently from home while maintaining high #J-18808-Ljbffr

Advanced Inpatient Coder Specialist (REMOTE) About this job At BayCare, we're committed to delivering exceptional care to the communities we serve—and that starts with our team members. We're looking for an experienced inpatient coder who is passionate about accuracy, collaboration, and making an impact behind the scenes of patient care. Join one of the largest and most respected healthcare systems in the Tampa Bay area and take the next step in your coding career. Location: Remote (must reside in FL for this opportunity) Shift: 8:00 AM - 4:30 PM Schedule: Flexible What You'll Do As an Advanced Inpatient Coding Specialist, you will play a key role in ensuring the accuracy and integrity of inpatient medical records. You'll work across multiple high-acuity service lines-including Orthopedics, Neurology, Cardiac, General Surgery, and Trauma-reviewing complex, multi-day encounters. Analyzing complex inpatient documentation to assign accurate diagnosis and procedure codes using...

Advanced Inpatient Coder Specialist (REMOTE) - 151005 Georgia:Augusta | Business and Administrative | Full Time Description BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Responsibilities : The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington. *Now...

Job Details POSITION: Remote Profee Coder - Primary Care DEPARTMENT: HIM START: 11/2/26 or earlier if possible END: 06/30/27 LOCATION: REMOTE JOB SUMMARY: Under general supervision, performs in depth complex daily CPT, HCPC, and ICD10 coding of inpatient outpatient and global package delivery services received from physicians via EPIC Charge Review and EPIC Surgical Case tool related to Primary Care encounters. Their primary focus will be coding Primary Care encounters and will help out as needed with other specialties such as - Sports Med, Urgent Care, Hospitalists, Mulit-Specialty E/M Profee, Profee GI, Family Medicine, Internal , Urology, Behavioral Health, Wound Care, Neurology, Surgery, Osteoporosis, Derm, infectious disease, Clinic Visits with Procedures, Cardiology/CT, Surgeries, claim edits, and denials. Accurately abstract, CPT, HCPCS, ICD10 and Modifiers as appropriate per clinical documentation. Queries and provides feedback to providers and other clinical department...