Medical Coder - Observation

We are seeking a detail-oriented and experienced Medical Coding Specialist to join our healthcare operations team. In this role, you will accurately review and assign medical codes for outpatient services while ensuring compliance with industry standards, coding regulations, and payer requirements.

This fully remote position offers an opportunity to work with healthcare professionals, support accurate reimbursement processes, and contribute to high-quality patient care through precise coding practices. The ideal candidate has strong knowledge of ICD-10, CPT, and HCPCS coding systems and is committed to maintaining coding accuracy, productivity, and compliance.

Work Schedule

Full-time position (40 hours per week)

Monday through Friday during regular business hours

Occasional overtime may be required based on business needs

Fully remote work opportunity

Key Responsibilities

Medical Coding & Compliance

Review medical records and assign accurate ICD-10, CPT, HCPCS, and modifier codes for outpatient services.

Ensure coding compliance with federal regulations, payer guidelines, and industry standards.

Apply official coding guidelines and organizational coding policies.

Maintain high standards of coding accuracy and productivity.

Documentation Review

Analyze clinical documentation for completeness and coding accuracy.

Identify and resolve coding discrepancies.

Query healthcare providers when additional documentation or clarification is required.

Support accurate reimbursement and claims processing.

Regulatory Knowledge

Maintain knowledge of Medicare payment methodologies and reimbursement systems.

Understand National Correct Coding Initiative (NCCI) edits and payer-specific policies.

Stay current with coding updates, regulatory changes, and healthcare compliance requirements.

Participate in ongoing education and training programs.

Collaboration & Reporting

Collaborate with healthcare providers, auditors, and revenue cycle teams.

Participate in departmental meetings and quality improvement initiatives.

Assist with coding audits and compliance reviews.

Support additional projects and responsibilities as assigned.

Required Qualifications

High School Diploma, GED, or equivalent.

Current coding certification from a recognized professional organization, such as:

CCA

CCS

RHIA

RHIT

CPC

COC

CIC

CCS-P

Certification must remain active and in good standing.

Required Experience

Minimum 2 years of experience in medical coding.

Minimum 2 years of experience with ICD-10, CPT, HCPCS, and modifier assignment.

Experience coding outpatient and observation services.

Familiarity with electronic medical record (EMR) systems.

Experience using Microsoft Office applications, including Excel and Outlook.

Required Skills

Technical Skills

Strong knowledge of:

ICD-10-CM

CPT

HCPCS

Medical terminology

Anatomy and physiology

Healthcare reimbursement methodologies

Understanding of Medicare, commercial payer guidelines, and coding compliance requirements.

Professional Skills

Excellent attention to detail and accuracy.

Strong organizational and time-management abilities.

Ability to work independently in a remote environment.

Effective written and verbal communication skills.

Ability to manage multiple priorities and deadlines.

Remote Work Requirements

Dedicated private workspace suitable for handling confidential healthcare information.

Reliable high-speed internet connection.

Ability to maintain data security and patient confidentiality.

Compliance with company remote work and privacy policies.

Access to required computer equipment and technology.

Compensation & Benefits

Competitive hourly or salaried compensation based on experience, education, certifications, and geographic location.

Comprehensive health and wellness benefits package.

Retirement savings plans.

Paid time off and holidays.

Professional development and continuing education opportunities.

Employee recognition and performance-based reward programs.

Flexible remote work environment.

Equal Opportunity Employer

We are committed to fostering an inclusive workplace where diversity is valued and respected. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, age, national origin, disability, veteran status, sexual orientation, gender identity, marital status, genetic information, or any other characteristic protected by applicable law.

Workplace Standards

We maintain a professional, safe, and respectful work environment. Employment may be contingent upon successful completion of applicable background checks, credential verification, and other pre-employment requirements in accordance with local laws and company policies.