Outpatient Coder

Description

Role Summary ?

Responsible for reviewing medical records and assigning?accurate?CPT, HCPCS, ICD-10-CM, and?appropriate modifiers?for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types.?

Requirements

Core Responsibilities

• Review medical records and assign?accurate?CPT/HCPCS, ICD-10-CM, and modifiers.?
• Ensure documentation supports coded services and identify/escalate discrepancies or gaps.?
• Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits).?
• Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.?
  
  

Minimum Qualifications

• Credentials:?CPC, CCS, RHIA, or RHIT (active).?
• Experience: Minimum?3+ years outpatient coding experience across multiple outpatient service types.?
• Skills & Knowledge:?Strong knowledge of?CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits. Familiarity with CMS guidelines and outpatient workflows.?
  
  

Client & Specialty Alignments

• Service Areas:?Observation, Same Day Surgery / Ambulatory Surgery Center (ASC), Emergency Department, Ancillary services (e.g., radiology, lab, diagnostic testing), and?Recurring/Outpatient?Clinics.?
• Specialty Expectations:?Strong understanding of CPT coding across surgical?and diagnostic services. Ability to code across mixed outpatient encounter types and apply payer-specific rules.?
  
  

Work Model & Employment Tracks

• Work Model:?100% remote, independent, production-focused environment with collaboration across coding, audit, and client teams.?
• Full-Time (FT):?Standard production aligned to client or project needs.?
• Part-Time / PRN / Project-Based:?Flexible support for backlog, specialty coverage, or targeted initiatives.?
• Note: Some positions may require evening or weekend coverage based on client needs or project scope.?
  
  

Why Sage Clinical RCM

• National exposure to diverse, high-acuity health systems and specialties.?
• Quality-first culture with realistic expectations (not volume-only).?
• Flexible work options (FT, PT, and PRN).?
• Opportunity to expand into?other?audit, education, and advisory services.?