[Hiring] Outpatient Coder @Saint Barnabas Medical Center

Role Description

The Outpatient Coder is responsible for accurate and timely coding of hospital outpatient services, with a primary focus on Emergency Department (ED) facility coding. The coder reviews clinical documentation and assigns appropriate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, modifiers, and facility E/M levels in accordance with official coding guidelines, payer requirements, hospital policies, and regulatory standards.

• Emergency Department coding experience is required.
• Experience with Infusion/Injection and/or Same Day Surgery (SDS)/Ambulatory Surgery coding is preferred but not required.
• The ideal candidate demonstrates strong knowledge of outpatient hospital coding, medical necessity, NCCI edits, modifier assignment, and documentation requirements.
• Ability to maintain established productivity and quality standards in a high-volume environment.

Qualifications

• Minimum 2 years of recent hospital Emergency Department facility coding experience preferred; demonstrated ED coding experience is required.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and outpatient hospital coding guidelines.
• Experience assigning Emergency Department facility E/M levels.
• Knowledge of NCCI edits, medical necessity requirements, and outpatient reimbursement concepts.
• Ability to interpret Emergency Department clinical documentation, including physician and nursing documentation.
• Ability to work independently while meeting established productivity and quality expectations.
• Strong analytical, organizational, and communication skills.
• Proficiency with electronic health records and coding/encoder applications.

Requirements

• Infusion and Injection coding experience.
• Same Day Surgery/Ambulatory Surgery coding experience.
• Experience with Epic Hospital Billing (HB).
• Experience with coding encoder applications.
• Experience working coding edits, denials, and claim-related coding reviews.

Certification

• One or more nationally recognized coding credentials is preferred, including:
• CPC – Certified Professional Coder
• CCS – Certified Coding Specialist
• COC – Certified Outpatient Coder
• CCS-P – Certified Coding Specialist – Physician-based
• RHIT or RHIA
• Associates or Bachelors preferred