Outpatient Coder II

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, and VA.

Company: Nuvance Health
Department: Coders – Professional & Facility Charging and Coding
Location: Remote
Pay Range: $23.64 – $45.92 Hourly
Schedule: Full Time, Day Shift

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.

• 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.

• 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.

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

• Competitive hourly compensation
• Opportunity to specialize in trauma and surgical coding
• Collaborative, growth-oriented team environment
• Commitment to professional development and ongoing education