Role overview

Qualifications

CPC, CCS, RHIA, or RHIT (active)
Minimum 3+ years outpatient coding experience
Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits
Familiarity with CMS guidelines and outpatient workflows

Responsibilities

Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers
Ensure documentation supports coded services and identify/escalate discrepancies or gaps
Ensure compliance with CMS, payer-specific rules, and official coding guidelines
Maintain established quality metrics and meet productivity standards

Key facts

Remote from: Anywhere
Full time
Mid-level (2-5 years)
Medical Writer
English

Hard skills

CPT Coding ICD 503 Access Modifiers Outpatient Coding Quality Assessment

Other skills

Detail Oriented
Collaboration

About the company

YES HIM Consulting, Inc.

YES HIM Consulting, Inc. is a premier HIM coding consulting firm with over 70+ HIM coding credentialed employees serving a variety of clients nationwide. Our team members average 20+ years of experience in HIM coding and hold numerous credentials including RHIA, RHIT, CCS, CCS-P, CPC, CDIP and PMP. Our services to our clients include inpatient/outpatient/profee coding compliance audits, CDI mismatch reviews, profee front end edits and back end rejection edits, coding education and training, new coder mentoring, remote coding, and payor denial letter appeals, coder assessments. What YES stands for? YES is an abbreviation for Youmans Executive Source. Our goal at YES is to truly become a partner with our health information management clients. We provide our clients with tailored solutions, excellent communication and the industry expertise to meet their goals.

Company details

Company size51 - 200

Links

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Job description

Description

Role Summary

Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types.

Requirements

Core Responsibilities

Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers.
Ensure documentation supports coded services and identify/escalate discrepancies or gaps.
Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits).
Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.

Minimum Qualifications

Credentials: CPC, CCS, RHIA, or RHIT (active).
Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types.
Skills & Knowledge: Strong knowledge of?CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits. Familiarity with CMS guidelines and outpatient workflows.

Client & Specialty Alignments

Service Areas: Observation, Same Day Surgery / Ambulatory Surgery Center (ASC), Emergency Department, Ancillary services (e.g., radiology, lab, diagnostic testing), and Recurring/Outpatient Clinics.
Specialty Expectations: Strong understanding of CPT coding across surgical and diagnostic services. Ability to code across mixed outpatient encounter types and apply payer-specific rules.

Work Model & Employment Tracks

Work Model: 100% remote, independent, production-focused environment with collaboration across coding, audit, and client teams.
Full-Time (FT): Standard production aligned to client or project needs.
Part-Time / PRN / Project-Based: Flexible support for backlog, specialty coverage, or targeted initiatives.
Note: Some positions may require evening or weekend coverage based on client needs or project scope.

Why Sage Clinical RCM

National exposure to diverse, high-acuity health systems and specialties.
Quality-first culture with realistic expectations (not volume-only).
Flexible work options (FT, PT, and PRN).
Opportunity to expand into other audit, education, and advisory services.