California Licensed Outpatient Coder

Job Summary

To ensure accurate coding and abstracting of medical records, the full-time California Licensed Outpatient Coder will work remotely to assign appropriate ICD-CM, CPT, and HCPCS Level II codes for outpatient services, including those requiring monitored anesthesia and conscious sedation.

Key responsibilities:

• Review medical records to identify and code diagnoses and procedures in compliance with regulatory guidelines
• Ensure timely coding and data abstraction while maintaining accuracy and integrity of coded data
• Interact with physicians to clarify documentation and ensure proper coding of patient information

Required qualifications:

• Two years of continuous hospital coding/abstracting experience within the last five years
• High School Diploma or GED with completed coursework in medical terminology, anatomy, and coding conventions
• 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