[Hiring] Hospital Outpatient Coder II @Capital Health (US)

Role Description

Hospital Outpatient Coder 2 is responsible for accurately assigning ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers for outpatient hospital encounter types including but not limited to:

• Emergency Room (ERs)
• Outpatient in a bed
• Same day medicals (SMs)
• Same day surgical (SDSs)

This role ensures complete, compliant, and timely coding to support quality reporting, accurate reimbursement, and organizational integrity.

Qualifications

• Education: High school diploma or equivalent.
• Experience: Certified Physician coder (CPC) or Certified Outpatient Coder (COC) preferred.
• Knowledge and Skills:
  • Excellent organizational, interpersonal, verbal, and written communication skills.
  • Vigilance and keen attention to detail.
  • Proper phone and email etiquette for frequent hospital and private provider exchanges.
  • Ability to work in a fast-paced environment with ability to meet productivity and quality standards.
• Special Training: Thorough knowledge of medical terminology, anatomy, and physiology. Understanding of ICD-10-CM, CPT, and HCPCS. Knowledge and experience using an encoder, and EMR required.
• Mental, Behavioral and Emotional Abilities:
  • Ability to work independently in a remote environment.
  • Ability to work under pressure.
  • Ability to interact effectively with other staff members to complete certain aspects of job.

Requirements

• Codes medical record documentation for outpatient services including but not limited to Emergency Room (ERs), Outpatient in a bed, Same day medicals (SMs) and Same day surgical (SDSs).
• Meets or exceeds established quality and productivity benchmarks.
• Assists in management of the DNFB to ensure minimal number of uncoded days.
• Collaborates with Clinical Documentation Improvement (CDI), billing, and revenue integrity teams to improve documentation, and optimize reimbursement.
• Identifies documentation gaps and escalates when clarification is needed.
• Contacts providers or other staff to obtain missing documentation timely to reduce DNFB accounts.
• Abstracts data with a high accuracy rate in accordance with established policy.
• Participates in creating a collaborative environment to promote excellence in coding and outcomes.
• Adapts to changing department demands to maintain high level of performance.
• Ensures compliance with medical coding policies and guidelines.
• Maintains coding credentials and up-to-date knowledge of outpatient coding changes.
• Performs other duties as assigned.

Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA)
  • Healthcare FSA
  • Dependent Care FSA
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance
  • Voluntary Life Spouse
  • Voluntary Life Employee
  • Voluntary Life Child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program