Outpatient Coder – SDS

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Job Details

Outpatient Coder – SDS

Job Overview

Outpatient Coder – SDS


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The Medical Coding Specialist, Outpatient Surgery is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client’s information system. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements.

Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards.


Assigns appropriate ICD-10-CM, CPT, HCPCS codes and modifiers to outpatient surgery accounts as per designated workflow

Abstracts and enters coded data and/or charges for hospital statistical and reporting requirements

Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate

Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution

Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts

Maintains required productivity and quality requirements

Maintains coding credential requirements REQUIRED


Candidate must possess an approved AHIMA or AAPC coding credential

Minimum 3 years coding experience required, Trauma Level 2 experience preferred

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