California Licensed Outpatient Coder

Job Summary

Seeking a part-time, fully remote California Licensed Outpatient Coder with interventional cardiology experience who will accurately code diagnoses, procedures, and ancillary services in a fast-paced environment while ensuring compliance with coding guidelines and regulations.

Key responsibilities

• Assign and validate ICD-10-CM, CPT, HCPCS Level II codes, and modifiers for outpatient hospital services
• Interpret clinical documentation to support accurate coding and charge capture
• Identify and resolve coding edits, charge discrepancies, and claim issues impacting outpatient facility billing

Required qualifications

• Minimum of 2-4 years of hospital outpatient coding experience, preferably in a facility environment
• Active coding certification from AHIMA or AAPC (CCS or COC preferred)
• Strong understanding of Official Coding Guidelines, CPT rules, and outpatient billing regulations
• Experience with APC/OPPS reimbursement methodology and outpatient hospital billing processes
• Familiarity with electronic health records (EHRs) and encoder systems