Outpatient Coder II

Description

Must reside in the following states:

AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA, and WV

Outpatient Coder II

Company:
Nuvance Health

Department:
Coders - Professional & Facility Charging and Coding

Location:

Remote

Pay Range: $23.64 - $45.92 Hourly

Schedule:

Full Time, Day Shift

Position Overview:

Nuvance Health is seeking an experienced Outpatient Coder II skilled in Evaluation and Management (E/M) leveling, critical care coding, and trauma surgery coding. The ideal candidate will accurately code and abstract outpatient medical records for reimbursement, compliance, and statistical reporting.

Candidates with strong experience in trauma surgery, acute care, and E/M specialty coding will thrive in this role. Knowledge of ICD-10-CM, CPT-4, and modifier usage is essential.

Key Responsibilities:

* Accurately code all outpatient trauma and surgical encounters, including emergency department, trauma consults, and critical care cases.

* Assign appropriate ICD-10-CM and CPT-4 codes following established coding and documentation guidelines.

* Perform E/M leveling for trauma specialists, including critical care and complex surgical evaluations.

* Query physicians and departments for clarification when documentation is incomplete, conflicting, or ambiguous.

* Ensure compliance with all federal, state, and organizational coding regulations.

* Maintain 95% or higher accuracy rate in diagnostic and procedural coding.

* Participate in quality assurance and performance improvement activities.

* Stay current with coding updates, regulatory changes, and best practices through continuing education.

Trauma Surgery Coding Focus:

* Code encounters where patients present to the Emergency Department (ED) as trauma cases.

* Assign appropriate codes for procedures and diagnoses such as gunshot wounds, motor vehicle accidents (MVAs), acute abdomen, and traumatic injuries.

* Review operative reports for trauma-related procedures (e.g., exploratory laparotomy, fracture repair, wound closure, and general surgical interventions).

* Collaborate with trauma surgeons and clinical documentation specialists to ensure precise representation of the patient encounter.

Qualifications:

Required:

* Certification: CPC, COC, CCS, or CCS-P

* Training in medical terminology, ICD-10-CM diagnosis, CPT procedure, and E/M coding

* Ability to interpret operative reports, medical orders, and clinical documentation

* Minimum 2 years of acute care and outpatient coding experience in trauma surgery

Why Join Nuvance Health?

* Competitive hourly compensation

* Opportunity to specialize in trauma and surgical coding

* Collaborative, growth-oriented team environment

* Commitment to professional development and ongoing education

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