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Role Summary

This position involves reviewing outpatient medical documentation and applying the correct CPT, HCPCS, ICD-10-CM, and modifier codes for services rendered. The work is centered on accurate, compliant outpatient coding and maintaining steady performance across a range of outpatient encounter types.

Core Responsibilities

Examine patient records and assign the appropriate CPT, HCPCS, ICD-10-CM, and modifier codes.
Confirm that the charting supports the codes selected, and raise any documentation gaps or inconsistencies when needed.
Follow CMS guidance, payer-specific requirements, official coding standards, and NCCI edit rules.
Deliver consistent quality results, including maintaining coding accuracy at or above 95%, while meeting productivity expectations.

Minimum Qualifications

An active CPC, CCS, RHIA, or RHIT credential is required.
At least 3 years of experience coding outpatient services across multiple outpatient settings.
Strong working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, NCCI edits, CMS rules, and outpatient workflows.

Client and Specialty Fit

Experience should cover observation, same-day surgery, ambulatory surgery center (ASC), emergency department, ancillary services such as radiology, lab, and diagnostic testing, as well as recurring outpatient clinic work.
The role requires the ability to code both surgical and diagnostic services and apply payer-specific rules across mixed outpatient encounter types.

Work Model and Employment Options

This is a fully remote role in an independent, production-driven setting with coordination across coding, audit, and client teams.
Full-time assignments are structured around standard production expectations based on client or project needs.
Part-time, PRN, and project-based support may be used for backlog work, specialty coverage, or focused initiatives.
Depending on the assignment, evening or weekend coverage may be needed to meet client or project requirements.

Why This Role

Work with a wide range of high-acuity health systems and specialties across the country.
Join a quality-focused team with balanced expectations rather than a volume-only approach.
Flexible engagement options are available, including full-time, part-time, and PRN work.
There may be opportunities to grow into audit, education, and advisory work.

Outpatient Coder