[Hiring] Outpatient Coder @Community Health Systems Professional Services Corporation

Role Description

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
• 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.

Qualifications

• H.S. Diploma or GED required
• Associate Degree in Health Information Management, Medical Coding, or a related field preferred
• One (1) year coding certification in Health Information Management preferred
• 1-3 years of outpatient coding experience in an acute care hospital or healthcare system required
• Experience coding emergency department visits, outpatient procedures, interventional radiology, and/or ambulatory surgery preferred

Requirements

• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding principles and outpatient reimbursement methodologies
• Understanding of Local Coverage Determination (LCD), National Coverage Determination (NCD), and payer-specific coding guidelines
• Experience with electronic health record (EHR) systems and coding software (e.g., 3M, Meditech, Epic, Cerner)
• Ability to analyze and resolve coding edits, rejections, and denials efficiently
• Strong attention to detail and organizational skills
• Excellent communication and problem-solving skills, with the ability to collaborate with CDI teams and billing departments
• Knowledge of HIPAA regulations and patient privacy standards

Licenses and Certifications

• Certified Coding Specialist (CCS) – AHIMA required
• CCA - Certified Coding Associate required
• Certified Outpatient Coder (COC) – AAPC required
• RHIA - Registered Health Information Administrator preferred
• RHIT - Registered Health Information Technician preferred