Outpatient Coding Specialist

Pena4 Inc.


Outpatient Coding Specialist-Onsite (NY Area)
Position type: Independent Consultant

Part time Coder Needed for approximately 2-3 days/week onsite at client in New York.  Training is on-site and then as-needed.  Position will transition to remote.

Job Description:

Job Responsibilities:

  1. Perform ICD-10 diagnosis/procedure coding & CPT coding for hospital-based outpatient cases and same day surgery (including Cardiac Catheterizations).
  2.  Abide by the standards of Ethical Coding as set forth by AHIMA and CMS.
  3.  Adhere to the AHA Official Coding Guidelines, AMA CPT Guidelines and UHDDS definitions.
  4.  Perform abstracting and data entry of codes and abstract items as pertinent to the account requirements.
  5.  Perform charge validation for supplies used in cardiac procedures
  6.  Query physicians when code assignments are not straight forward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.
  7.  Keep abreast of coding guidelines and reimbursement reporting requirements and maintain coding credential requirements.
  8.  Achieve and maintain coding productivity standards for each specific account.
  9.  Achieve and maintain a 95% coding accuracy rate and a 95% APC accuracy rate.
  10.  Bring identified concerns to the coding manager for resolution
  11.  Perform/assist in data quality reviews and audits as necessary and within scope of expertise.
  12.  Assist in other OP coding related projects as necessary.

Required Qualifications:

Knowledge, Skills and Abilities Required:

  • Proficiency in ICD-10 diagnosis/procedure coding and CPT coding.
  • Proficiency in modifier assignment.
  • Must have a working knowledge of APC’s with a minimum of 2 years of coding experience in an acute care hospital setting or ambulatory care facility
  • Strong organizational, analytical and problem-solving abilities and techniques required along with excellent communication and interpersonal skills.
  • Attention to detail is required.
  • This is an on-site position to start with a transition to remote.

Preferred Qualifications:Education Qualifications:

Educational Requirements:  Candidate should possess a credential as CCS, CCS-P, COC, or CPC-H. RHIA or RHIT will be considered if experienced in CPT coding.


Independent Consultant Position:

Rate:  $35/hour Remote Work and $40/hour Onsite Work

Instructions for Resume Submission:

Please email resume to Carrie Harris at carrie.harris@pena4.com