Offer summary

Qualifications:

High school diploma or equivalent required., Active medical coding certification (CPC, COC, CCS, or CCS-P)., At least 2 years of outpatient coding experience in specialties like surgery or cardiothoracic surgery., Proficiency in ICD-10-CM, CPT, and E/M coding, with knowledge of regulatory guidelines..

Key responsibilities:

Perform accurate outpatient diagnostic and procedural coding.

Maintain a minimum coding accuracy rate of 95%.

Communicate with healthcare providers to resolve documentation issues.

Stay current with coding regulations and attend mandatory training.

Job description

Description

Position at Western CT Health Network Inc

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.

Job Title: Remote Outpatient Coder II
Company: Western CT Health Network Inc
Department: Professional & Facility Charging and Coding
Org Unit: 1853
Employment Type: Full-Time | Remote | Non-Exempt
Salary Range: $22.94 – $42.61 per hour
Location: Remote

Position Overview

Western CT Health Network is seeking a skilled and detail-oriented Remote Outpatient Coder II to accurately code complex outpatient records in compliance with regulatory and reimbursement requirements. This position demands high-level expertise in ICD-10-CM, CPT, Evaluation & Management (E/M) coding, and a deep understanding of Local Coverage Determinations (LCDs) and clinical documentation improvement (CDI).

This is a fully remote medical coding opportunity ideal for professionals with a strong background in hospital-based outpatient coding across surgical specialties.

Key Responsibilities

Perform accurate and compliant ICD-10-CM diagnostic and CPT procedural coding for complex outpatient services.
Maintain a minimum coding accuracy rate of 95% to support quality and compliance standards.
Apply Uniform Hospital Discharge Data Set (UHDDS) definitions and other regulatory coding references to ensure accurate capture of patient acuity, severity of illness, and risk of mortality when applicable.
Utilize electronic medical record (EMR) systems and computerized coding/abstracting tools proficiently.
Apply detailed knowledge of ambulatory payment classifications (APC), modifier usage, and medical necessity guidelines as defined by LCDs.
Perform comprehensive E/M coding for both facility and professional billing.
Communicate professionally with healthcare providers to resolve documentation discrepancies and enhance coding accuracy.
Code using 3M encoder or ICD-10-CM/CPT codebooks, depending on case complexity.
Stay current with changes in coding regulations, hospital policies, and payer requirements by attending mandatory training and education sessions.
Respond to billing and reimbursement-related coding inquiries in a timely and accurate manner.
Maintain all required coding credentials (CPC, COC, CCS, or CCS-P) in compliance with certification standards.
Meet the organization’s expectations for compliance, customer service, teamwork, and performance.
Perform other coding-related duties as assigned.

Required Qualifications

High school diploma or equivalent
Active coding certification: CPC, COC, CCS, or CCS-P
Specialized training in:
- Medical terminology
- ICD-10-CM diagnosis coding
- CPT procedural coding
- Evaluation and Management (E/M) leveling
Minimum of 2 years' experience in specialty acute care outpatient coding (see below)
Proficiency in interpreting and coding documentation such as operative reports, medical orders, and specialty records

Required Specialty Experience

2–3 years of coding experience in at least two (2) of the following specialties across inpatient and outpatient settings:

OR Surgery
Cardiothoracic Surgery
Thoracic Surgery
General Surgery
Vascular Surgery
Neurovascular Surgery
Urology
Plastic Surgery
Orthopedic Surgery

Preferred Qualifications

Coursework in Anatomy and Physiology
Experience using 3M encoder software

Working Conditions

Manual Dexterity: Requires significant coordination and fine motor skills
Occupational Risk: Minimal, remote environment
Physical Effort: Medium to heavy; may occasionally exert up to 35 lbs.
Environment: Remote position; occasional exposure to virtual workplace fatigue

Why Join Western CT Health Network?

Western CT Health Network offers a mission-driven, remote-friendly work culture with a focus on compliance, professional growth, and excellence in healthcare data quality. We invest in our coding professionals through continued education, strong support teams, and competitive compensation.

Apply now to take your remote coding career to the next level with one of the region’s most respected healthcare networks.

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