Outpatient Medical Coder

An Outpatient Medical Coder reviews outpatient medical records and assigns accurate diagnostic and procedure codes to support billing, compliance, and reimbursement processes.

Responsibilities

• Review outpatient medical records and assign ICD-10-CM, CPT, and HCPCS codes

• Code outpatient encounters including SDS (Same Day Surgery), OBS (Observation), and ED (Emergency Department) cases

• Ensure coding accuracy based on clinical documentation and coding guidelines

• Support proper claim submission and billing accuracy

• Identify documentation gaps and coordinate with healthcare providers when needed

• Follow HIPAA and healthcare compliance standards

• Maintain productivity and quality coding standards

Qualifications