Outpatient Coder

Description

Role Summary

Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types.

Requirements

Core Responsibilities

• Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers.
• Ensure documentation supports coded services and identify/escalate discrepancies or gaps.
• Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits).
• Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.

Minimum Qualifications

• Credentials: CPC, CCS, RHIA, or RHIT (active).
• Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types.
• Skills & Knowledge: Strong knowledge of?CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits. Familiarity with CMS guidelines and outpatient workflows.

Client & Specialty Alignments

• Service Areas: Observation, Same Day Surgery / Ambulatory Surgery Center (ASC), Emergency Department, Ancillary services (e.g., radiology, lab, diagnostic testing), and Recurring/Outpatient Clinics.
• Specialty Expectations: Strong understanding of CPT coding across surgical and diagnostic services. Ability to code across mixed outpatient encounter types and apply payer-specific rules.

Work Model & Employment Tracks

• Work Model: 100% remote, independent, production-focused environment with collaboration across coding, audit, and client teams.
• Full-Time (FT): Standard production aligned to client or project needs.
• Project-Based: Flexible support for backlog, specialty coverage, or targeted initiatives.
• Note: Some positions may require evening or weekend coverage based on client needs or project scope.

Why Sage Clinical RCM

• National exposure to diverse, high-acuity health systems and specialties.
• Quality-first culture with realistic expectations (not volume-only).
• Flexible work options (FT).
• Opportunity to expand into other audit, education, and advisory services.