E/M Coder - Outpatient (CPC Certified )

E/M Coder - Outpatient

Must Have Skills

• Experience in risk adjustment coding (HCC), outpatient, or E&M coding

  : Demonstrated proficiency in accurately applying codes for hierarchical condition categories (HCC), all types of outpatient services, and comprehensive Evaluation and Management encounters.

• High attention to detail and accuracy in code assignment and documentation review

  : Meticulous approach to reviewing medical records, identifying all billable services, and assigning the most appropriate codes with precision.

• Strong analytical and problem-solving skills

  : Ability to critically analyze complex medical documentation and coding scenarios to identify discrepancies and formulate effective solutions.

• Effective written and verbal communication for coder feedback and education

  : Clear and concise communication abilities to provide constructive feedback to fellow coders and contribute to training initiatives.

• Proficiency in Microsoft Office and EHR/coding software

  : Competence in using standard office applications and specialized electronic health record (EHR) and coding software for daily tasks.

• Ability to manage multiple tasks and meet strict deadlines in a fast-paced environment

  : Excellent time management and organizational skills to handle a high volume of work while maintaining accuracy under pressure.

• Familiarity with tools such as 3M, EPIC, or Optum Encoder

  : Working knowledge of common coding and EHR platforms to navigate and utilize them efficiently.

Key Responsibilities

• Conduct retrospective and prospective audits

  of E&M coded records to ensure accuracy, completeness, and compliance with official guidelines and facility-specific protocols.

• Assign ICD-10-CM, CPT, and HCPCS codes

  based on the latest official coding guidelines, national conventions, and client-specific requirements for outpatient services.

• Identify coding errors or trends

  and provide

  constructive feedback

  to improve overall coder performance and accuracy.

• Collaborate with coding and clinical documentation teams

  to resolve discrepancies, clarify documentation, and ensure optimal code assignment.

• Lead or support coder education and training

  initiatives based on audit outcomes, new coding guidelines, and regulatory updates to enhance team knowledge and skills.

• Stay current on E&M coding standards, CMS regulations, and payer-specific requirements

  , ensuring all coding practices are up-to-date and compliant.

• Participate in internal and external compliance audits

  , providing necessary documentation and responding to audit requests as needed to demonstrate adherence.

• Generate comprehensive audit reports

  and

  track coding performance metrics

  , providing insights into accuracy rates, productivity, and areas for improvement.

• Ensure revenue integrity and regulatory compliance

  in close coordination with billing, compliance, and Health Information Management (HIM) teams, minimizing claim denials and ensuring ethical billing practices.

Qualification

• Any Graduate and Above

CTC Range

• Up to 7 LPA

Notice Period

• Immediate to 15 Days only

Interview Mode

• Virtual

Contact: