OP Medical Coder

Review physician documentation, medical records, and outpatient encounters. o Assign accurate ICD-10-CM, CPT, and HCPCS codes. o Apply outpatient coding and billing guidelines correctly. o Validate diagnoses, procedures, modifiers, and medical necessity where applicable. o Identify missing, unclear, or conflicting documentation and escalate queries appropriately. o Ensure accurate sequencing of diagnoses and procedures. o Review coding edits, denials, and documentation-related issues. o Maintain productivity and accuracy targets. o Follow HIPAA/privacy and organizational compliance requirements. o Keep up to date with annual coding guideline and code-set changes.

Knowledge of ICD-10-CM, CPT, and HCPCS coding. o Understanding of outpatient/ambulatory coding guidelines. o Medical terminology and anatomy knowledge. o Strong attention to detail and analytical skills. o Experience with EHR/EMR and coding software is preferred. o CPC, CCS, CCA, or equivalent certification is often preferred or required, depending on the employer. Typical

Review physician documentation, medical records, and outpatient encounters. o Assign accurate ICD-10-CM, CPT, and HCPCS codes. o Apply outpatient coding and billing guidelines correctly. o Validate diagnoses, procedures, modifiers, and medical necessity where applicable. o Identify missing, unclear, or conflicting documentation and escalate queries appropriately. o Ensure accurate sequencing of diagnoses and procedures. o Review coding edits, denials, and documentation-related issues. o Maintain productivity and accuracy targets. o Follow HIPAA/privacy and organizational compliance requirements. o Keep up to date with annual coding guideline and code-set changes.