Outpatient Coder

Community Care Cooperative (C3)

. Review ambulatory medical records for multi-specialty provider organizations to ensure billed codes are accurately supported by clinical documentation .

Posted 10/13/2026full-timeRemote • Massachusetts • United StatesMid-LevelSenior💰 $24 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical coding, including ICD-10 and CPT/HCPCS systems, ensuring compliance with coding guidelines and payer requirements. Proficient in analyzing medical records and communicating effectively with healthcare providers to resolve coding issues.

Highest-signal resume keywords

CPC CertificationICD-10 CodingCPT/HCPCS CodingMedical Record ReviewThird-Party Payer Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10 Diagnosis CodingCPT Procedure CodingHCPCS CodingCoding ComplianceClaim Edit CorrectionsDenial ReviewsMedical TerminologyEMR ProficiencyCoding Guidelines KnowledgeDocumentation Management

Soft Skills

CommunicationProblem-SolvingAttention to DetailTime Management

Tools & Technologies

Microsoft OfficeEpic

Certifications & Qualifications

CPC Certification

Industry Keywords

Ambulatory Medical RecordsMulti-Specialty FacilityFederal and State GuidelinesMassHealth ACO ProgramFederally Qualified Health Centers

About the role

Key responsibilities & impact

Review ambulatory medical records for multi-specialty provider organizations to ensure billed codes are accurately supported by clinical documentation
Interpret medical record data into language payers can interpret to process physician charges
Ensure coding complies with all coding guidelines
Assign appropriate ICD-10 diagnosis codes and CPT/HCPCS procedure codes 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 a risk to revenue 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
Report to the Director of Revenue Integrity

Requirements

What you’ll need

High School Diploma or equivalent required
CPC Certification required
3-5 years CPT/HCPC Outpatient coding experience, preferably in a multi-specialty facility
Knowledge of ICD-CM (current edition), CPT, HCPCS coding systems and CCI edits
Knowledge of third-party payer requirements, federal and state guidelines and regulations on medical coding and billing
Knowledge of current ICD-10-CM and CPT/HCPC Official Guidelines for Coding and Reporting
Knowledge of medical records content and management
Working knowledge of the EMR through experience or education
Medical terminology knowledge
Knowledge of laws and regulations about health information and patient confidentiality
Proficiency in Microsoft Office applications such as Excel, Word and PowerPoint
Ability to learn new software and systems
Must be able to remain in a stationary position 50-75% of the time
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
Prior Epic experience highly preferred