outpatient coder

ECLARO

<div>
 
 Job Number: 26-00718
 
 
 
 Progress on your journey to success! ECLARO is currently recruiting for an
 
 Outpatient Coder
 
 in the
 
 Chicago, IL
 
 area for one of our clients.
 
 
 ECLARO&rsquo;s client is a leading provider of healthcare workforce software and solutions. If you&rsquo;re up to the challenge, then take a chance at this rewarding opportunity!
 
 
 
 Position Overview:
 
 
 
 <ul>
 <li>
 Outpatient Coder - specifically ED coding and strong hospital charge related ED.
 </li>
 <li>
 AHIMA Certification required - RHIA, RHIT, or CCS. Strong academic and regional medical center coding experience required.
 
 
 </li>
 </ul>
 
 Responsibilities:
 
 
 
 <ul>
 <li>
 Review clinical documentation in order to assign diagnostic and procedural codes for outpatient medical records according to the appropriate classification system
 </li>
 <li>
 Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines
 </li>
 <li>
 Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed
 </li>
 <li>
 May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.
 </li>
 <li>
 Provides coding feedback to providers, clinical department leadership, and revenue cycle team
 </li>
 <li>
 Assist coding educators with education regarding documentation improvement
 </li>
 <li>
 Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans
 </li>
 <li>
 Assists with design and implementation of workflow updates and coding tools
 </li>
 <li>
 Support denial team on coding related denials
 </li>
 <li>
 Special projects as assigned
 
 
 </li>
 </ul>
 
 Pay Rate:
 
 $33.00-$36.00/Hour
 
 
 
 Shift:
 
 Day 5x8-Hour (08:00 - 16:30);
 
 Job Duration:
 
 26 weeks
 
 
 
 If hired, you will enjoy the following ECLARO Benefits:
 
 
 
 <ul>
 <li>
 401k Retirement Savings Plan administered by Merrill Lynch
 </li>
 <li>
 Commuter Check Pretax Commuter Benefits
 </li>
 <li>
 Eligibility to purchase Medical, Dental &amp; Vision Insurance through ECLARO
 
 
 </li>
 </ul>
 If interested, you may contact:
 
 
 
 Sofia Dela Torre
 
 
 
 
 Sofia.DelaTorre@eclaro.com
 
 
 
 
 (332) 206-0779
 
 
 
 
 Sofia Dela Torre | LinkedIn
 
 
 
 
 Equal Opportunity Employer:
 
 ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status, in compliance with all applicable laws.
</div>

Outpatient Coder

TEEMA Group

<div><h2 class="jobSectionHeader">Role Summary</h2>
The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services.
In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations.<h2 class="jobSectionHeader">
Duties &amp; Responsibilities</h2><ul><li>
Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding</li><li>
Perform DRG validation and retrospective medical claims reviews</li><li>
Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations</li><li>
Prepare clear, detailed determination letters and written review outcomes</li><li>
Identify coding discrepancies, potential fraud, and quality concerns</li><li>
Provide training, mentorship, and guidance to clinical coding staff</li><li>
Collaborate with cross-functional teams to support coding inquiries and review findings</li><li>
Research and apply medical policies, benefits, limitations, and current coding guidelines</li><li>
Ensure timely completion of coding reviews in alignment with performance standards</li><li>
Maintain accurate and thorough documentation within medical management and claims systems</li><li>
Escalate complex or high-risk cases to the Medical Director as appropriate</li></ul><h2 class="jobSectionHeader">
Required Qualifications</h2><ul><li>
High School Diploma or GED</li><li>
Active credential in one of the following:<ul><li>
Certified Inpatient Coder (CIC)</li><li>
Certified Coding Specialist (CCS)</li><li>
Registered Health Information Technician (RHIT)</li></ul></li><li>
Minimum of five (5) years of clinical coding experience (facility and/or professional)</li><li>
Minimum of three (3) years of inpatient and/or outpatient claims processing experience</li><li>
Experience working in a fast-paced, production-driven environment</li><li>
Ability to obtain and maintain a favorable background investigation</li><li>
U.S. Citizenship required</li></ul><h2 class="jobSectionHeader">
Desired Qualifications</h2><ul><li>
Experience within managed care, health insurance, or private healthcare industry</li><li>
Familiarity with government healthcare programs and regulatory guidelines</li><li>
Advanced expertise in inpatient facility coding and DRG validation</li><li>
Strong analytical, critical thinking, and problem-solving skills</li><li>
High attention to detail with strong organizational capabilities</li><li>
Ability to manage large volumes of complex information independently</li><li>
Effective communication and collaboration across multidisciplinary teams</li><li>
Proficiency in Microsoft Word, Excel, and multi-system environments</li></ul><h2 class="jobSectionHeader">
Location &amp; Work Type</h2>
100% Remote (must reside in an approved state) 
Full-time position<ul><li>
Independent home office work environment required</li><li>
Prolonged computer use and sitting required</li><li>
Flexibility to support varying work schedules as needed</li></ul>
#Workwolf</div>

Sr. Inpatient Clinical Coder

Nextcare

<div>
 Medical Officer &ndash; Outpatient Precertification is responsible for managing the Outpatient Precertification claims while ensuring that departmental goals, timeline of activities, and compliance measures are met.
 
 
 
 What You Do
 
 
 
 <ul>
 <li>
 Precertification team is functional on 24/7 basis. Therefore, the Medical Officer will work on a flexible shift basis as per the schedule provided by the Team Leader.
 </li>
 <li>
 Adjudicates - outpatient medical claims by evaluating each case from both the technical and clinical perspectives, ensuring all decisions comply with policy terms and conditions and are delivered within the stipulated turnaround time and quality standards.
 </li>
 <li>
 Performs a comprehensive review of outpatient documentation, including consultation notes, diagnostic reports, laboratory results, radiology findings, prescriptions, treatment plans, and follow‑up notes to validate medical necessity and appropriateness of care.
 </li>
 <li>
 Assesses the necessity and justification of proposed treatment plans, ensuring alignment with evidence‑based guidelines and outpatient benefit structures
 </li>
 <li>
 Requests additional medical documentation or identifies missing information essential for accurate decision‑making, coordinating with providers when clarification is required
 </li>
 <li>
 Conducts utilization review for outpatient services, including but not limited to evaluation of billed items, non‑covered services, overutilization patterns, and appropriateness of investigations or procedures.
 </li>
 <li>
 Performing review of claims as per CPT and ICD coding guidelines in line with insurance regulators (DHA,DOH/HAAD,MOH).
 </li>
 <li>
 Adheres to cost‑containment protocols by ensuring outpatient services are medically justified, appropriately billed, and aligned with network rules and negotiated tariffs
 </li>
 <li>
 Maintains daily productivity and service level targets, ensuring timely adjudication and consistent workflow management
 </li>
 <li>
 AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
 
 
 </li>
 </ul>
 
 What You Bring
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s of Pharmacy / Dentistry / Medicine / Nursing / Physiotherapist / Paramedics
 </li>
 <li>
 01-02 years of Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level
 </li>
 <li>
 Physically fit to carry out duties.
 </li>
 <li>
 Certified Medical Coder [Preferable]
 </li>
 <li>
 Legally permitted to work in the country of operations.
 </li>
 <li>
 Physically fit to carry out duties.
 </li>
 <li>
 Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
 
 
 </li>
 </ul>
 
 How We Hire
 
 
 
 
 
 Agency Statement
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under
 
 
 contract. Any unsolicited submission will not be considered
 
 
 
 
 Key Benefits/What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.
 
 
 At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation. By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences. Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities. With robust Information Security Management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.
 
 
 Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
 
 
 At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.
 
 
 We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 
 Great to have you on board.
 
 Let's care for tomorrow.
 
 
 Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz&lsquo; company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.
</div>

Medical Assessor - Outpatient Precertification

Caban Resources

<div>Starts out onsite, then transitions to REMOTE 4 days/week.
Job Summary:
Required Services provide single path medical coding services and related medical records functions. Single path coding combines facility coding and professional coding and allows one coder to code facility and professional codes for the same patient utilizing a single coding platform. perform technically complex professional services coding for medical conditions and assign the correct International Classification of Diseases, ICD-10-CM, Procedure Coding System (PCS) Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&amp;M) codes for diagnosis, acuity of care and procedures for a wide range of medical specialties to include coding of complicated cases identified as difficult to classify such as treatment of burn injuries, combat related injuries, orthopedic surgery, cardiothoracic surgery, interventional radiology, new diseases, new and experimental treatments or therapies and infections, etc.
Duties:<ul><li>
Accurately assigns Evaluation and Management (E&amp;M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, ICD-10 Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of inpatient facility discharges (stays); inpatient professional services to include attending (also known as &quot;Rounds&quot;), consultations, and concurrent services, and inpatient surgical and anesthesia procedures; and inpatient External Resource Sharing Agreement (ERSA) encounters. May also code ambulatory (i.e. Coder II) or outpatient (i.e. Coder I) encounters as directed.</li><li>
Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care.</li><li>
Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.</li><li>
Assigns accurate codes to encounters based upon provider responses to coding queries.</li><li>
Acts as a source of reference to medical staff having questions, issues, or concerns related to coding. Responds to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding. Collaborates with and supports medical coding auditors, trainers, and compliance specialists in providing education and feedback to providers and staff.</li><li>
Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels.</li><li>
Upon DHA-MCPB direction, utilizes MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other MTFs.</li><li>
Achieve and maintain DHA coding productivity and accuracy standards for the position.</li></ul>
Qualifications:<ul><li>
Education: Post-high school education through a university or technical school program resulting in completion of ONE of the following: 1) An Associate's degree or higher in Health Information Management, Healthcare Administration, or a biological science; OR 2) A university certificate in medical coding; OR 3) At least 30 semester hours' university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR 4) Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR 5) Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision. General medical ethics, telephone etiquette, and excellent communication and customer service skills.</li><li>
Certification: ONE of the following recognized professional coding certifications: Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist &ndash; Physician (CCS-P); AND ONE of the following recognized institutional coding certifications: Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).</li></ul></div>

Medical Coder III (Inpatient Coder)

Mineral Community Hospital

<div>Job Summary
*Applicants must be a Certified Professional Coder (CPC) and have 1 year of relevant work experience*
The focus of this position is to enhance patient care and safety while working and collaborating positively as a member of the MCH team.
Responsible for coding clinic and hospital claims, inpatient and outpatient encounters or a mixture as assigned by Business Office Manager. These records include emergency room, short stays, endoscopy, physical therapy, inpatient, outpatient surgery, diagnostic services, and clinic encounters. Communicate appropriately with coworkers to ensure all documentation requirements are being met for services billed. Help with chart analysis for physician or nursing deficiencies or missing reports.
Responsibilities
<ul><li>Review and analyze patient medical records to assign appropriate codes for diagnoses and procedures.
</li><li>Utilize coding systems such as ICD-9 and DRG to ensure accurate documentation.
</li><li>Collaborate with healthcare providers to clarify any discrepancies in medical records.
</li><li>Maintain up-to-date knowledge of coding guidelines and regulations to ensure compliance.
</li><li>Assist in the management of medical billing processes and collections as needed.
</li><li>Ensure the confidentiality and security of patient information in accordance with HIPAA regulations.
</li><li>Generate reports related to coding accuracy and billing efficiency for management review.
</li></ul>Skills
<ul><li>Ability to process work using both alphabetical and numerical filing systems.
</li><li>Fluent in English.
</li><li>Possess basic clerical background including computer skills, basic filing skills and general knowledge of office procedures.
</li><li>Able to organize and prioritize workload.
</li><li>Able to work under pressure and perform multitasking duties under pressure with accuracy.
</li><li>Must have manual dexterity.
</li><li>Able to complete tasks within a given time frame.
</li><li>Able to work with minimal supervision.
</li><li>Must be able to code ambulatory, inpatient, emergency and or surgery encounters or a mix there of.
</li></ul>We invite qualified candidates who are passionate about healthcare coding to apply for this vital role within our organization. Join us at MCH in creating an inviting atmosphere that enhances the experience of every guest! Submit a resume today and/or fill out our application here: https://mineralcommunityhospital.com/career-search/</div>

Medical Records Coder

Medstar Healthcare LLC

Accumed &amp; Fatorah is actively Hiring: OP Medical Coder &ndash; Relocation to UAE (Sharjah)(Omega / E4E experience)We are looking for OP Medical Coders who are willing to relocate to Sharjah, UAE and join the best RCM team.Kindly Note: Candidates must have experience working with Omega or E4E (Mandatory) to be considered. There will be 2 rounds of Interview, the 1st interview will be an Online OP Coding Assessment and final round will be an online Interview with our RCM Director &amp; Coding Manager.Location: Sharjah, UAEShift: Rotational shifts including Night ShiftExperience Required: 3&ndash;5 years of hands-on medical coding experienceCertification: CPC or CCS Certification is mandatoryEligibility Criteria:✔ Candidates must have prior experience working with Omega or E4E (Mandatory)✔ Strong experience in Outpatient (OP) coding✔ Good understanding of ICD-10, CPT, and HCPCS coding standards✔ Experience handling insurance and claims-related coding processes✔ Willingness to relocate to UAELanguage Requirements:✔ Candidates must be able to communicate in English✔ Hindi, Tamil, or Telugu speaking candidates are preferredKey Responsibilities:Review and accurately code outpatient medical records and proceduresEnsure coding accuracy and compliance with healthcare regulations and insurance guidelinesWork closely with physicians and internal teams to clarify documentation when requiredMaintain productivity and quality standards within assigned timelinesIdentify coding discrepancies and support denial prevention initiativesStay updated with coding regulations and payer requirementsPreference:Candidates who are willing to work in over night shiftsImmediate joiners or candidates with short notice periods are preferredInterested candidates may share their updated CV for further review.Benefits from the company:Salary budget is AED 4k to 5.5k (All Included). All depends on assessment score and interview feedback.Visa and Medical Insurance is provided by the company.Yearly flight ticket allowance provided by the company.Professional work environment with career development.Pay: AED4,000.00 - AED5,500.00 per monthWork Location: In person

OP Medical Coder (Omega / E4E experience)

Search 551+ Outpatient coder jobs near you this June. New roles added regularly across leading industries. Apply today.

551 outpatient coder jobs Near Me

Outpatient Coder

Sr. Inpatient Clinical Coder

Medical Assessor - Outpatient Precertification

Sr. Inpatient Clinical Coder

Medical Coder III (Inpatient Coder)

Medical Records Coder

OP Medical Coder (Omega / E4E experience)