Role overview

Qualifications

Associates or Bachelors degree in Health Information Management, Nursing, or related field preferred
Active certification required: CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or equivalent
Minimum of 2 years of outpatient coding experience, preferably across multiple specialties or facility types
Proficiency in CPT, HCPCS, and ICD-10-CM coding systems

Responsibilities

Review outpatient medical records and documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes
Ensure coding meets official guidelines, payer-specific rules, and client documentation standards
Identify documentation gaps or discrepancies and coordinate with internal teams for clarification when needed
Maintain coding accuracy and productivity benchmarks based on organizational expectations

Key facts

Remote from: Philippines
Full time
Mid-level (2-5 years)
English

Hard skills

CPT Coding ICD Coding (ICD-9/ICD-10) Outpatient Coding E-MDs (EMR/EHR System) Encoder Pro Medical Billing

Other skills

Analytical Skills
Detail Oriented
Organizational Skills
Verbal Communication Skills
Teamwork

About the company

HCM Nexus

Human Resources Services

HCM Nexus Consulting Inc. has been providing quality staffing and effective solutions to our clients since 2012. We aim to build strong human relationships by providing HR solutions that fit your talent and process needs.> Recruitment Solutions (Outsourced Staffing, Executive Search, RPO for volume requirements)>L&D Services - Bespoke Services based on your companies needs, timeline and budget>Outsourced HR Services - Transactional and Strategic HR ServicesInterested? Please send an email to partnerships@hcmnexus.com or Topher.Astraquillo@hcmnexus.comLooking for a job or the right career? We help you get the Next Big Thing (send your CV to jobs@hcmnexus.com).

Company details

Company typeSME

IndustryHuman Resources Services

Company size51 - 200

Links

Website LinkedIn See all jobs

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Job description

Job Summary:

We are hiring a skilled and reliable Out-Patient Medical Coder to ensure accurate and compliant coding of outpatient medical records. This role involves reviewing clinical documentation and applying appropriate CPT, HCPCS, and ICD-10-CM codes across a variety of outpatient settings and specialties. The successful candidate will demonstrate solid coding expertise, a strong understanding of outpatient billing guidelines, and the ability to work across diverse clinical documentation sources.

Key Responsibilities:

Review outpatient medical records and documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes.
Ensure coding meets official guidelines, payer-specific rules, and client documentation standards.
Identify documentation gaps or discrepancies and coordinate with internal teams for clarification when needed.
Maintain coding accuracy and productivity benchmarks based on organizational expectations.
Stay updated on the latest outpatient coding standards, payer regulations, and compliance requirements.
Participate in regular audits, quality assurance processes, and training sessions.
Use electronic health records (EHR) systems and coding platforms efficiently while maintaining confidentiality and data security.

Qualifications:

Associates or Bachelors degree in Health Information Management, Nursing, or related field preferred.
Active certification required: CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or equivalent.
Minimum of 2 years of outpatient coding experience, preferably across multiple specialties or facility types.
Proficiency in CPT, HCPCS, and ICD-10-CM coding systems.
Familiarity with outpatient billing processes, modifiers, and payer-specific coding requirements.
Experience using EHR systems and encoder software (e.g., 3M, Optum).
Knowledge of HIPAA and data privacy standards.

Preferred Skills:

Experience handling diverse outpatient documentation from multiple provider types or practice settings.
Strong analytical skills, attention to detail, and ability to work independently or as part of a remote team.
Excellent organizational and communication skills.