WORK FROM HOME_Tenured Outpatient Coder (Trainer, QA, TL)
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Summary
Remote (work-from-home) outpatient medical coder role at HRTX, with tracks for trainer, QA, and team lead positions. Day-to-day work covers ICD-10-CM, CPT, and HCPCS coding in EMR/EHR platforms (Epic, Cerner, Meditech, 3M Encoder) and claims denials management; senior roles add quality review and auditing.
Education & Certification
- Bachelors degree in a related field (preferred but not always required).
- Active certification in any of the following: CPC, COC, CCS (mandatory).
Experience
- Minimum of 1 year experience in Outpatient Medical Coding in a clinical, BPO, or CPO set-up.
- At least 35 years of hands-on professional coding and outpatient facility coding experience.
- For senior-level roles: 57 years of medical coding experience (OP) with 3+ years in coding quality review or auditing.
- Experience in multi-specialty coding highly preferred.
Technical Skills
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
- Familiarity with medical necessity guidelines and payer requirements.
- Proficiency in EMR/EHR platforms such as Epic, Cerner, Meditech, and 3M Encoder.
- Solid background in claims denials management, including analysis, resolution, and appeals processes.
Other Requirements
- Excellent analytical and problem-solving skills.
- High attention to detail and accuracy in coding and auditing.
- Strong communication skills and ability to work independently or as part of a team.
- Willingness to work in clinical, BPO, or CPO environments.