WORK FROM HOME_Tenured Outpatient Coder (Trainer, QA, TL)

Education & Certification

• Bachelors degree in a related field (preferred but not always required).
• Active certification in any of the following: CPC, COC, CCS (mandatory).

Experience

• Minimum of 1 year experience in Outpatient Medical Coding in a clinical, BPO, or CPO set-up.
• At least 35 years of hands-on professional coding and outpatient facility coding experience.
• For senior-level roles: 57 years of medical coding experience (OP) with 3+ years in coding quality review or auditing.
• Experience in multi-specialty coding highly preferred.

Technical Skills

• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Familiarity with medical necessity guidelines and payer requirements.
• Proficiency in EMR/EHR platforms such as Epic, Cerner, Meditech, and 3M Encoder.
• Solid background in claims denials management, including analysis, resolution, and appeals processes.

Other Requirements

• Excellent analytical and problem-solving skills.
• High attention to detail and accuracy in coding and auditing.
• Strong communication skills and ability to work independently or as part of a team.
• Willingness to work in clinical, BPO, or CPO environments.