Outpatient Coder

Community Care Cooperative (C3)

. Assign appropriate ICD-10 diagnosis codes and CPT/HCPCS procedure codes to patient encounters based on medical documentation, physician notes, and other information .

Posted 10/27/2026full-timeRemote • United StatesMid-LevelSenior💰 $24 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ICD-10, CPT, and HCPCS coding systems, ensuring compliance with coding guidelines and regulations while effectively communicating with healthcare providers. Proficient in medical record interpretation and documentation management to support accurate billing processes.

Highest-signal resume keywords

ICD-10 CodingCPT CodingHCPCS CodingCPC Certification3–5 Years Outpatient Coding Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-CM KnowledgeCPT KnowledgeHCPCS KnowledgeMedical Terminology KnowledgeEMR ProficiencyCoding ComplianceClaim Edit CorrectionsDenial ReviewsDocumentation ManagementRevenue Risk Identification

Soft Skills

Interpersonal SkillsCommunication SkillsProfessionalismProblem-Solving AbilityFlexibility

Tools & Technologies

Microsoft OfficeEpic

Certifications & Qualifications

CPC Certification

Industry Keywords

Third-Party Payer RequirementsFederal Medical Coding GuidelinesState Medical Coding RegulationsPatient Confidentiality LawsMassHealth ACO ProgramFederally Qualified Health Centers

About the role

Key responsibilities & impact

Assign appropriate ICD-10 diagnosis codes and CPT/HCPCS procedure codes to patient encounters based on medical documentation, physician notes, and other information
Complete coding in a timely manner to meet billing deadlines
Assist in resolving incomplete or missing documentation to expedite billing
Communicate with healthcare providers to clarify coding questions and concerns
Perform claim edit corrections and denial reviews related to coding errors
Identify coding or documentation trends that may pose revenue risks and report them to management
Stay current with coding and documentation guidelines, compliance policies, annual coding updates, payer policies, and industry changes
Perform other duties as assigned
Review ambulatory medical records for multi-specialty provider organizations to ensure billed codes are supported by clinical documentation
Interpret medical record data into language payers can use to process physician charges
Ensure coding complies with all coding guidelines
Report to the Director of Revenue Integrity as part of an emerging coding team within the billing and credentialing service

Requirements

What you’ll need

Knowledge of ICD-CM (current edition), CPT, HCPCS coding systems and CCI edits
Knowledge of third-party payer requirements, federal and state medical coding and billing guidelines and regulations
Knowledge of current ICD-10-CM and CPT/HCPCS Official Guidelines for Coding and Reporting
Knowledge of medical records content and management
Working knowledge of EMR through experience or education
Medical terminology knowledge
Knowledge of health information and patient confidentiality laws and regulations
Proficiency in Microsoft Office applications including Excel, Word and PowerPoint
Flexibility with changing end-user business needs
Good interpersonal and communication skills and professionalism
Ability and willingness to own work activities and complete them accurately, efficiently, and timely
Ability and willingness to learn new software and systems
Ability to determine problem causes and develop corrective and preventive actions
Ability to persevere in difficult situations and overcome obstacles
Must remain in a stationary position 50–75% of the time
High School Diploma or equivalent required
CPC Certification required
3–5 years of CPT/HCPCS outpatient coding experience, preferably in a multi-specialty facility
Prior Epic experience highly preferred
Familiarity with the MassHealth ACO program desired
Familiarity with Federally Qualified Health Centers desired
Experience with anti-racism activities and/or lived experience with racism highly preferred