"Alerted.org

*Description*

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*

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Perform accurate and compliant *ICD-10-CM diagnostic* and *CPT procedural coding* for complex outpatient services.

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Maintain a *minimum coding accuracy rate of 95%* to support quality and compliance standards.

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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.

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Utilize *electronic medical record (EMR)* systems and *computerized coding/abstracting tools* proficiently.

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Apply detailed knowledge of *ambulatory payment classifications (APC)*, *modifier usage*, and *medical necessity guidelines* as defined by LCDs.

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Perform comprehensive *E/M coding* for both facility and professional billing.

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Communicate professionally with healthcare providers to resolve documentation discrepancies and enhance coding accuracy.

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Code using *3M encoder* or ICD-10-CM/CPT codebooks, depending on case complexity.

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Stay current with changes in coding regulations, hospital policies, and payer requirements by attending mandatory training and education sessions.

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Respond to billing and reimbursement-related coding inquiries in a timely and accurate manner.

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Maintain all required *coding credentials* (CPC, COC, CCS, or CCS-P) in compliance with certification standards.

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Meet the organization’s expectations for compliance, customer service, teamwork, and performance.

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Perform other coding-related duties as assigned.

*Required Qualifications*

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High school diploma or equivalent

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Active coding certification: *CPC*, *COC*, *CCS*, or *CCS-P*

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Specialized training in:

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*Medical terminology*

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*ICD-10-CM diagnosis coding*

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*CPT procedural coding*

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*Evaluation and Management (E/M) leveling*

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Minimum of *2 years' experience* in specialty acute care outpatient coding (see below)

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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*:

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OR Surgery

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Cardiothoracic Surgery

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Thoracic Surgery

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General Surgery

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Vascular Surgery

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Neurovascular Surgery

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Urology

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Plastic Surgery

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Orthopedic Surgery

*Preferred Qualifications*

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Coursework in *Anatomy and Physiology*

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Experience using *3M encoder* software

*Working Conditions*

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*Manual Dexterity:* Requires significant coordination and fine motor skills

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*Occupational Risk:* Minimal, remote environment

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*Physical Effort:* Medium to heavy; may occasionally exert up to 35 lbs.

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*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.

We are an equal opportunity employer

Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.