Outpatient Department Facility Coder at GeBBS Healthcare Solutions, Inc.

Culver City, California, United States -

Full Time

Start Date

Immediate

Expiry Date

09 Sep, 26

Salary

0.0

Posted On

11 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

ICD-10-CM, CPT, HCPCS Level II, Interventional Cardiology Coding, NCCI Edits, OCE Edits, APC Reimbursement, OPPS, Clinical Documentation Interpretation, Medical Terminology, EHR Proficiency, Revenue Cycle Management

Industry

Hospitals and Health Care

Description

Description GeBBS Healthcare Solutions, a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Outpatient Department Facility Coder with interventional cardiology experience. We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Requirements Technical Skills: Advanced knowledge of ICD-10-CM, CPT, HCPCS Level II, and modifier assignment for hospital outpatient services. Strong understanding of Official Coding Guidelines, CPT rules, Coding Clinic guidance, and CMS outpatient billing regulations. Proficiency in applying National Correct Coding Initiative (NCCI) edits and Outpatient Code Editor (OCE) edits. Knowledge of hospital outpatient reimbursement systems, including APC (Ambulatory Payment Classification) and OPPS (Outpatient Prospective Payment System). Ability to accurately interpret clinical documentation to support coding of diagnoses, procedures, and ancillary services. Strong understanding of medical terminology, anatomy, physiology, pharmacology, and disease processes relevant to outpatient care. Proficiency in assigning and validating HCPCS Level II codes for drugs, supplies, and outpatient services. Experience using electronic health records (EHRs), encoder systems, CAC tools, and revenue cycle platforms. Ability to identify and resolve coding edits, charge discrepancies, and claim issues impacting outpatient facility billing. Required Experience: Minimum of 2–4 years of hospital outpatient coding experience, preferably in a facility (HB) environment. Active coding certification from AHIMA or AAPC, such as: CCS (Certified Coding Specialist) – strongly preferred COC (Certified Outpatient Coder) – strongly preferred for outpatient facility coding CPC (Certified Professional Coder) – acceptable with strong outpatient facility experience RHIT or RHIA Must maintain active credential status with required continuing education units (CEUs) per certifying body requirements. Demonstrated experience assigning ICD-10-CM, CPT, HCPCS Level II, and modifiers for outpatient hospital services. Experience working with APC/OPPS reimbursement methodology and outpatient hospital billing processes. Strong understanding of Official Coding Guidelines, Coding Clinic guidance, CPT rules, NCCI edits, and OCE edits. Experience reviewing clinical documentation to support accurate coding and charge capture in a hospital outpatient setting. Familiarity with electronic health records (EHRs), encoder software, CAC tools, and revenue cycle systems. Experience identifying coding errors, resolving claim edits, and supporting denial prevention efforts preferred. Prior experience in a hospital, health system, or large integrated delivery network (IDN) preferred.

Responsibilities

The role involves accurately assigning codes for diagnoses, procedures, and ancillary services in a hospital outpatient setting. The coder will also identify and resolve coding edits and charge discrepancies to ensure proper facility billing.