Outpatient Coder

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. 

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: Recurring/Outpatient Clinics. 
• Specialty Expectations: Strong knowledge of E/M coding, diagnosis assignment, and CPT coding for clinic-based services.

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.