Virginia Licensed Outpatient Coding Specialist

Job Summary

Offering a remote opportunity, the Virginia Licensed Outpatient Coding Specialist will independently review complex outpatient documentation and apply advanced coding knowledge to ensure accurate code assignment across multiple ambulatory specialties in a collaborative healthcare environment.

Key responsibilities

• Perform detailed review and assignment of CPT, ICD-10-CM, modifiers, and E/M services for physician billing
• Analyze clinical documentation to accurately identify services performed and link diagnoses to procedures
• Collaborate with providers and clinical staff to promote coding excellence and compliant reimbursement practices

Required qualifications

• High School Diploma or GED
• Certified Professional Coder (CPC) certification required
• Approximately three or more years of professional outpatient coding experience
• Specialty focus preferred in areas such as Pulmonology, Hematology/Oncology, and Endocrinology
• Experience with medical necessity, diagnosis specificity, and payer-specific requirements