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Outpatient Coding Specialist - Pediatrics | Remote Texas

Remote / Online - Candidates ideally in
Fort Worth, Tarrant County, Texas, 76120, USA
Listing for: CCMC Cook Children's Medical Center
Full Time, Remote/Work from Home position
Listed on 2026-06-23
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration, Medical Records
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Position: Outpatient Coding Specialist - Pediatrics | Remote Texas | $10,000 Sign-On Bonus

Location:

Medical Center - Fort Worth
Department: HIM-Coding

Shift: First Shift (United States of America)
Standard Weekly

Hours:

40

Summary

The HIM Coder Analyst II requires advanced knowledge and skill in applying International Classification of Diseases and Procedures (ICD) and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. The role involves reviewing and interpreting patient medical record documentation to identify diagnoses and procedures and assign ICD-10-CM and CPT-4 codes accurately and timely to the highest level of specificity based on physician documentation for ambulatory surgery, special procedures, observation, emergency department, outpatient ancillary, and clinic visit records.

Minimum expected accuracy rate for all coding assignments is 95%.

Responsibilities
  • Review and interpret patient medical record documentation to identify diagnoses and procedures and assign ICD-10-CM and CPT-4 codes accurately and timely for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records.
  • Primarily code complex ambulatory surgery and observation visit medical records.
  • Identify and abstract specified information from the patient record and enter data into the electronic health record system for billing and use in all types of CCHCS reporting.
  • Assist with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary.
  • Communicate with physicians and other providers regarding documentation requirements and collaborate with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy.
  • Maintain current knowledge of coding and documentation changes, rules and guidelines.
Education & Experience
  • High School Diploma or Equivalent required.
  • RHIA, RHIT or CCS with at least 1 year minimum current and continuous full-time ICD-10-CM/CPT-4 ambulatory surgery, observation and/or inpatient coding and abstracting experience required.
  • Pediatric coding experience highly desired.
  • Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role.
  • Experience using Microsoft Office Excel and Word highly desired.
  • Ability to work well independently and productively with minimal guidance and without direct supervision.
  • Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills.
  • Ability to maintain confidentiality.
  • Goal oriented, flexible and energetic.
  • Demonstrates coding skills, critical thinking skills, ability to solve problems appropriately using job knowledge and current policies and procedures.
  • Demonstrated coding knowledge and proficiency required through on-site skills assessment with a passing score of 90% prior to hire.
Certification / Licensure
  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required.
  • Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.
EEO Statement

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

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