California Licensed Hospital Outpatient Coder

Job Summary

To support accurate medical record documentation, the full-time California Licensed Hospital Outpatient Coder will code and abstract diagnoses and procedures for outpatient services, ensuring compliance with regulatory guidelines while working remotely from Northern California.

Key responsibilities

• Review medical records to identify and code diagnoses and procedures using ICD-CM, CPT, and HCPCS coding systems
• Ensure timely and compliant coding and abstracting of medical records in accordance with established standards and guidelines
• Interact with physicians to clarify patient diagnostic and procedural information as needed

Required qualifications

• Two years of continuous hospital coding/abstracting experience within the last five years
• High School Diploma or GED with completion of classes in medical terminology, anatomy, and coding conventions from an accredited program
• Certification as a Registered Health Information Technician, Certified Professional Coder, or equivalent
• Basic knowledge of reimbursement methodologies and coding guidelines
• Ability to achieve a minimum score of 75% on the Hospital Outpatient Coder test