12 Outpatient Coding Jobs

We are seeking a dedicated and detail-oriented Client Partner - Medical Coding specializing in Evaluation & Management (E&M) and Emergency Department coding. This role is essential for ensuring the accuracy and compliance of medical records, a critical function in maintaining the financial health of our clients. The ideal candidate will have a strong foundation in outpatient coding, a commitment to quality, and a proactive approach to continuous learning. Key Responsibilities: Perform various activities related to the auditing of medical record coding , ensuring the assignment of accurate diagnosis and CPT codes in line with ICD-10 and CPT-4 systems . Conduct coding and auditing for outpatient records , specifically focusing on E&M and Emergency Department charts, maintaining a minimum of 96% accuracy and meeting all turnaround time requirements. Consistently exceed productivity standards as defined by internal norms for specialty-specific outpatient coding. Maintain a high degree of professional and ethical standards in all professional interactions and tasks. Engage in continuous improvement by participating in projects designed to prevent revenue leakage for clients while ensuring full compliance with industry regulations. Proactively update coding skills and knowledge by participating in coding team meetings and educational conferences. Job Requirements: 1 to 4 years of experience in medical coding, with a focus on an ambulatory setting . Strong knowledge of coding procedures and medical terminology relevant to outpatient care. Hands-on exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding systems. Certification is compulsory . A CCS, CPC, CPC-H, CIC, or COC certification from AAPC/AHIMA is required. Good knowledge of medical and billing systems, regulatory requirements, and auditing concepts and principles.

We are seeking a dedicated and detail-oriented Client Partner - Medical Coding specializing in Evaluation & Management (E&M) and Emergency Department coding. This role is essential for ensuring the accuracy and compliance of medical records, a critical function in maintaining the financial health of our clients. The ideal candidate will have a strong foundation in outpatient coding, a commitment to quality, and a proactive approach to continuous learning. Key Responsibilities: Perform various activities related to the auditing of medical record coding , ensuring the assignment of accurate diagnosis and CPT codes in line with ICD-10 and CPT-4 systems . Conduct coding and auditing for outpatient records , specifically focusing on E&M and Emergency Department charts, maintaining a minimum of 96% accuracy and meeting all turnaround time requirements. Consistently exceed productivity standards as defined by internal norms for specialty-specific outpatient coding. Maintain a high degree of professional and ethical standards in all professional interactions and tasks. Engage in continuous improvement by participating in projects designed to prevent revenue leakage for clients while ensuring full compliance with industry regulations. Proactively update coding skills and knowledge by participating in coding team meetings and educational conferences. Job Requirements: 1 to 4 years of experience in medical coding, with a focus on an ambulatory setting . Strong knowledge of coding procedures and medical terminology relevant to outpatient care. Hands-on exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding systems. Certification is compulsory . A CCS, CPC, CPC-H, CIC, or COC certification from AAPC/AHIMA is required. Good knowledge of medical and billing systems, regulatory requirements, and auditing concepts and principles.

As a Radiology Coding Auditor at Pacific BPO, an Access Healthcare company in Noida, India, you will be responsible for auditing the coding of medical records to ensure accurate diagnosis and CPT code assignments according to ICD-10 and CPT-4 coding systems. Your role will involve coding and auditing outpatient and/or inpatient records with a minimum accuracy rate of 96 percent within specified turnaround time requirements. To excel in this position, you must exceed productivity standards for medical coding, maintain professional and ethical standards, and focus on continuous improvement initiatives that help customers prevent revenue leakage while adhering to compliance standards. Participation in coding team meetings, educational conferences, and ongoing skill development activities is essential to stay updated with coding practices. Applicants for this role should hold a graduate degree in life sciences with 2-4 years of experience in medical coding, specifically in Radiology specialty. Prior experience in medical coding audit and physician education, particularly in Radiology Coding, will be advantageous. Proficiency in coding procedures, medical terminology in an ambulatory setting, and familiarity with CPT-4, ICD-9, ICD-10, and HCPCS coding is required. Having certifications such as CCS, CPC, CPC-H, CIC, COC from AAPC or AHIMA, along with current coding certification, will be beneficial. A strong understanding of medical coding and billing systems, regulatory requirements, auditing concepts, and principles is necessary to succeed in this role. If you are inspired, talented, and motivated to grow in healthcare revenue cycle management, Pacific BPO welcomes you to join their team and contribute to their vibrant culture.,

If you want to advance your healthcare career and enhance your expertise in healthcare revenue cycle management, you must view your healthcare business processes through the eyes of the customer. Gain deeper insights into the healthcare industry by joining a company that appreciates your contributions and supports your development, allowing you to establish a genuine partnership with your clients. Embark on your professional journey as a Surgery Coding Auditor at Pacific BPO, an Access Healthcare company, which values inspired, talented, and driven individuals. Numerous opportunities await you in our dynamic and inclusive work environment. As a Surgery Coding Auditor, your responsibilities will include auditing medical records to ensure accurate assignment of diagnosis and CPT codes according to ICD-10 and CPT-4 coding systems. You will be tasked with coding and auditing outpatient and/or inpatient records with a minimum accuracy rate of 96 percent while meeting turnaround time requirements. Strive to exceed productivity standards for medical coding, maintain professional and ethical standards, and focus on continuous improvement initiatives that help clients optimize revenue and comply with industry standards. Additionally, you will be expected to enhance your coding skills and knowledge by participating in coding team meetings, educational conferences, and various projects aimed at preventing revenue leakage. To qualify for this position, candidates should hold a graduate degree in life sciences and possess 2-4 years of experience in Medical Coding for Surgery. Previous experience in Medical Coding Audit and Physician Education, particularly in Surgery Coding, will be advantageous. A solid understanding of coding procedures and medical terminology in an ambulatory setting is essential for success in this role. If you are passionate about healthcare, possess the required qualifications, and are eager to make a difference in the field of medical coding, we encourage you to apply for this exciting opportunity in Noida, India. Join our team at Pacific BPO and contribute to our mission of delivering high-quality healthcare services while fostering professional growth and development.,

If you are looking to advance your healthcare career and enhance your expertise in healthcare revenue cycle management, you must evaluate your healthcare business processes through the perspective of your customers. Gain deeper insights into the healthcare industry by joining a company that appreciates your contributions and empowers you to become a trusted partner to your clients. This organization invests in your professional development and allows you to directly impact the key performance indicators that are significant to your clients. Embark on a fulfilling career journey as a Client Partner specializing in medical coding for Evaluation & Management (E&M) and Emergency Department (ED) services at Access Healthcare. We are constantly seeking individuals who are passionate, skilled, and driven to join our dynamic team. Multiple opportunities await you in our thriving work environment. As a Client Partner for medical coding, your responsibilities will include: - Conducting audits on medical record coding to assign accurate diagnosis and CPT codes in accordance with ICD-10 and CPT-4 coding systems - Performing coding and audits for Outpatient and/or Inpatient records with a minimum accuracy rate of 96% and meeting turnaround time requirements - Exceeding productivity benchmarks for Medical Coding as per the specified norms for inpatient and/or specialty-specific outpatient coding - Upholding high standards of professionalism and ethics - Engaging in continuous improvement initiatives by undertaking projects that help clients prevent revenue loss while adhering to regulatory standards - Enhancing coding skills and knowledge through participation in coding team meetings and educational conferences Job Requirements: To be eligible for this role, candidates should possess the following qualifications: - 1 to 4 years of experience in Medical Coding - Familiarity with Coding Procedures and Medical Terminology in an ambulatory care setting - Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding - Possession of CCS/CPC/CPC-H/CIC/COC certification from AAPC/AHIMA would be advantageous - Certification is mandatory. - Sound understanding of medical coding and billing systems, regulatory requirements, auditing principles, and concepts.,

As a Certified Medical Coder at Corro Health, you will play a crucial role in accurately assigning appropriate medical codes to patient records. This position is currently open for both EM and IP coding roles at our Hyderabad office, with the option to work from the office. We are looking for individuals who can join immediately and possess either AAPC or AAHIMA certification. To excel in this role, prior experience in medical coding is essential, particularly in areas such as multispecialty coding, denials management, or inpatient/outpatient coding. Your expertise in these areas will ensure the accuracy and compliance of our coding practices. At Corro Health, we offer a competitive salary package that is considered one of the best in the industry. You will thrive in a professional and collaborative work environment where your contributions are valued. Additionally, we have a referral program in place, encouraging you to refer your friends and grow our team together. If you are ready to take on this exciting opportunity, please reach out to our HR representative, Vinitha, at +91 91500 46898 or via email at vinitha.panneer@corrohealth.com. Join us in shaping the future of medical coding and refer your friends to be a part of our dynamic team as well.,

Designation: Vice President / Associate Vice President Department: Medical Coding Operations Job Location: Navi Mumbai Work from office JD: Specialties: Operations and Performance management Migrations / Setup start-up projects Planning & Budgeting revenues and controls Client Relationship Management Process and people related change management. Farming within existing engagements Key Responsibilities: Handling P&L Management, Service Delivery, Client Relationship, and Internal Stakeholder Management Heading the offshore Service delivery of Multi-specialty Coding Implement programs to ensure attainment of business plan for growth and profit. Provide directions and structure for operating units. will be responsible for designing, setting up and managing a process excellence/quality framework for that ensures that our coders deliver high quality of work. Work with delivery and training functions to create feedback loops from quality assessment to training and operations management. Implement improved processes and management methods to generate higher ROI and workflow optimization. Provide mentoring and guidance to subordinates and other employees. Responsible for managing multiple accounts. Looking after end to end management of program covering multiple work streams with a total span. Facilitating process re-engineering and improvements to enhance customer engagement. Generating new prospects for the organization to showcase capabilities. Ensuring attrition control & job enrichment at process levels Required Skillset: 15+ years in Medical Coding with current role as Director or Above or equivalent to managing operations team of medical coding Must have handled outpatient Coding / Inpatient Coding team Education : Any Graduate or Life Science Graduate Interested candidate can share their profile on anandi.bandekar@gebbs.com

Huron assists its clients in driving growth, enhancing performance, and maintaining leadership in their respective markets. Healthcare organizations are supported in fostering innovation capabilities and accelerating key growth initiatives, enabling them to shape the future rather than be disrupted by it. Collaboratively, clients are empowered to achieve sustainable growth, improve internal processes, and enhance consumer outcomes. Health systems, hospitals, and medical clinics face significant pressure to enhance clinical outcomes and reduce the cost of patient care. Merely investing in new partnerships, clinical services, and technology is insufficient to bring about meaningful change. To ensure long-term success, healthcare organizations must empower their leaders, clinicians, employees, affiliates, and communities to cultivate cultures that promote innovation for optimal patient outcomes. Joining the Huron team entails aiding clients in adapting to the rapidly evolving healthcare landscape, optimizing existing business operations, enhancing clinical outcomes, creating a more consumer-centric healthcare experience, and fostering engagement among physicians, patients, and employees throughout the enterprise. The role entails overseeing the day-to-day production and quality functions of a team of coders focused on achieving client production and coding accuracy goals. This includes planning, directing, supervising, evaluating feedback workflows, and coordinating activities among all coding staff within the team. Excellent communication skills, attention to detail, as well as strong technical and problem-solving abilities are crucial for success in this position. JOB DETAILS: - Assign accurate diagnosis and CPT codes in accordance with ICD-10 and CPT-4 coding systems for medical records - Code outpatient and/or inpatient records with a minimum accuracy of 96% and meeting turnaround time requirements - Exceed productivity standards for Medical Coding as per inpatient and/or specialty-specific outpatient coding norms - Uphold professional and ethical standards while focusing on continuous improvement to prevent revenue leakage and ensure compliance - Enhance coding skills, knowledge, and accuracy through participation in coding team meetings and educational conferences - Specialize in areas such as Inpatient, E&M, Acute, Ambulatory, Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, among others - Familiarity with CPT-4, ICD-9, ICD-10, and HCPCS coding - Interpret client requirements and project specifications to code charts accordingly - Adhere to prescribed coding standards like ICD-9/ICD-10 and CPT while ensuring accuracy and correctness of patient information - Assign appropriate medical codes to diagnoses and services, following client-specific guidelines and updates - Meet client productivity targets within specified timelines and deliver quality outputs - Prepare and maintain status reports QUALIFICATIONS: - Graduation in Life Science, Pharmacy, Physiotherapy, Zoology, Microbiology disciplines - Minimum of 2 years of industry experience - CPC (Certified Coding Professional) or CCS (Certified Coding Specialist) certification Position Level: Senior Analyst Country: India,

Role & responsibilities Conducts acute outpatient coding reviews to validate diagnosis, CPT, HCPCS and modifiers. Analyzes all other coded data for completeness, accuracy, compliance and adherence to coding guidelines. Writes clear, accurate and concise recommendations in support of findings while providing feedback and education to coders referencing current ICD-10-CM, CPT Official Coding Guidelines and AHA Coding Clinics Responsible for knowledge, understanding and application of National Correct Coding Initiative (NCCIs) edits, including but not limited to Procedure-to-Procedure edits (PTPs) edits; Medical Unlikely Edits (MUEs); Add-On Codes (AOC’s) to ensure accurate reimbursement and compliance with Medicare guidelines. Extensive understanding of OCE billing edits as it relates to outpatient facility coding. Industry knowledge of Medicare regulations and payment policies, including OPPS and how they apply to acute outpatient coding and billing. Maintains productivity and quality goals as set by audit leaders. Audit evaluation and management codes for the Emergency Department including thorough knowledge of American College of Emergency Physician (ACEP) Facility guidelines or similar. Ensures client coding audits are completed accurately and timely by meeting client turn around and audit quality expectations. Responsible for maintaining current certification(s), CEU’s, and up-to-date knowledge of coding guidelines. Demonstrates a broad understanding of charge capture, revenue integrity and charge master (CDM) concepts to help prevent noncompliance risks, optimize payments and minimize downstream issues with claim edits. Completes required internal education, compliance training and other mandatory educational requirements. Utilize proprietary systems and encoder tools efficiently and accurately to make audit determinations, generate audit recommendations through workflow processes accurately. Ensure the confidentiality and rights of the patient and the client health system. And must maintain all required client access. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation. Preferred candidate profile 3+ years of overall experience with 1+ years of experience in Quality Analysis within the healthcare / RCM domain. Strong understanding of end-to-end RCM processes including charge entry, payment posting, denial management, and AR follow-up. Knowledge of HIPAA and healthcare compliance standards. Proficiency in using billing software (e.g., Epic, Athena, Kareo) and QA tools. Excellent communication skills for feedback and reporting.

Designation: Vice President / Associate Vice President Department: Medical Coding Operations Job Location: Navi Mumbai / Hyderabad Work from office JD: Specialties: Operations and Performance management Migrations / Setup start-up projects Planning & Budgeting revenues and controls Client Relationship Management Process and people related change management. Farming within existing engagements Key Responsibilities: Handling P&L Management, Service Delivery, Client Relationship, and Internal Stakeholder Management Heading the offshore Service delivery of Multi-specialty Coding Implement programs to ensure attainment of business plan for growth and profit. Provide directions and structure for operating units. will be responsible for designing, setting up and managing a process excellence/quality framework for that ensures that our coders deliver high quality of work. Work with delivery and training functions to create feedback loops from quality assessment to training and operations management. Implement improved processes and management methods to generate higher ROI and workflow optimization. Provide mentoring and guidance to subordinates and other employees. Responsible for managing multiple accounts. Looking after end to end management of program covering multiple work streams with a total span. Facilitating process re-engineering and improvements to enhance customer engagement. Generating new prospects for the organization to showcase capabilities. Ensuring attrition control & job enrichment at process levels Required Skillset: 15+ years in Medical Coding with current role as Director or Above or equivalent to managing operations team of medical coding Must have handled outpatient Coding / Inpatient Coding team Education : Any Graduate or Life Science Graduate Interested candidate can share their profile on anandi.bandekar@gebbs.com

Process Performance Metrics: Responsible for meeting and exceeding the performance metrics goals, work closely with onshore counterparts and senior leadership to define and monitor the scope of metrics, collaborate with other key functional leaders offshore (Quality & Education) and build a conducive work environment. Set measurable goals metrics, for the team, aligned with the overall business goals & organizational values and have an effective review/feedback process in place. Building Talent: The candidate will be responsible for creating an environment to identify and groom talent future leaders within the team, work with cross-functional & DRs to develop IDPs. Continuous Improvement: Be able to drive efficiency and meet exceed the initiative targets, create strategies to build & sustain operational excellence, identify and work on opportunities to bring in additional scope of work. As Operations Delivery Leaders, below (but not limited to) would be key areas of responsibility; Should be able to handle a span ~600 associates spread across locations (NCR, HYD, Bangalore). The span may vary depending upon the business requirements Able to manage all service lines under Outpatient Coding (should be AHIMA or AAPC certified and have strong domain expertise) Manage day-to-day operations and ensure that deliverables are being met (including quality parameters) Collaborate with Middle Revenue Cycle PMO on transition and ensure that timelines are being met Work closely with senior leadership on cost management (P&L) Client relationship management Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests

Job Description Designation : Senior Manager / Manager, Medical Coding Operations Speciality: Same Day Surgery / Outpatient Coding Location : Airoli, Navi Mumbai Work from Office Job Summary: We are seeking a Senior Manager / Manager of Medical Coding Operations with at least 8+ years of experience in the medical coding business. The ideal candidate will have extensive knowledge of surgery/outpatient medical coding guidelines, and coding techniques including ICD-10 and CPT . A strong foundation in Anatomy & Physiology , Advanced Medical Terminology , Pharmacology , and Psychology is essential. Proficiency in MS Office and excellent communication and interpersonal skills are a must. Key Responsibilities: Coding Transition & Delivery Management : Manage coding transitions and oversee delivery for outsourcing partners and hospital groups in the US. Training & Leadership : Provide coding training and guidance for the team, utilizing strong leadership skills to manage and mentor coders. Client Management : Understand client needs and exceed expectations in both productivity and quality. Project Transition : Lead the transition of new projects across various specialties. Decision Making : Demonstrate effective decision-making skills with minimal supervision. Research & Analytics : Utilize strong analytical skills to solve complex coding issues through research. Training & Mentoring : Act as a mentor to enhance coders' skills and ensure project success. Stakeholder Collaboration : Work closely with higher management to meet organizational goals. Coding Guidelines : Develop and document coding guidelines based on federal and payer sources (CMS, Medicare, Commercial Payers) and client updates. Client Interaction : Lead client discussions regarding coding production deliverables and quality assurance. Team Management : Manage and lead a team of multispecialty coders. Special Responsibilities: Facility Creation : Assist in exploring infrastructure options and building new facilities. Team Building : Play a key role in building a team tailored for various projects based on specific requirements. Necessary Qualifications: Experience : 8+ years in Medical Coding with working managing Surgery Coding / Outpatient Coding . Technical Skills : Proficiency in MS Word and Excel . Organizational Skills : Detail-oriented with the ability to handle repetitive tasks efficiently. Multitasking : Ability to manage multiple tasks in a fast-changing environment. Educational Requirements: Qualification : Graduation in any stream. Mandatory Certifications : CCS , CIC , COC , or CPC certification. ,