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*Description*

*Outpatient Coder II*

*Company:* Nuvance Health

*Department:* Coders – Professional & Facility Charging and Coding

*Location:* Remote

*Pay Range:* $23.64 – $45.92 Hourly

*Schedule:* Full Time, Day Shift *Position Overview:*

Nuvance Health is seeking an experienced *Outpatient Coder II* skilled in *Evaluation and Management (E/M) leveling*, *critical care coding*, and *trauma surgery coding*. The ideal candidate will accurately code and abstract *outpatient medical records* for reimbursement, compliance, and statistical reporting.

Candidates with strong experience in *trauma surgery*, *acute care*, and *E/M specialty coding* will thrive in this role. Knowledge of *ICD-10-CM*, *CPT-4*, and *modifier usage* is essential. *Key Responsibilities:*

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Accurately code all *outpatient trauma and surgical encounters*, including *emergency department*, *trauma consults*, and *critical care* cases.

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Assign appropriate *ICD-10-CM* and *CPT-4* codes following established *coding and documentation guidelines*.

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Perform *E/M leveling* for trauma specialists, including *critical care* and *complex surgical evaluations*.

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Query physicians and departments for clarification when documentation is incomplete, conflicting, or ambiguous.

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Ensure compliance with all *federal, state, and organizational coding regulations*.

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Maintain *95% or higher accuracy rate* in diagnostic and procedural coding.

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Participate in quality assurance and performance improvement activities.

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Stay current with *coding updates*, regulatory changes, and best practices through continuing education.

*Trauma Surgery Coding Focus:*

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Code encounters where patients present to the *Emergency Department (ED)* as trauma cases.

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Assign appropriate codes for procedures and diagnoses such as *gunshot wounds, motor vehicle accidents (MVAs), acute abdomen, and traumatic injuries*.

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Review operative reports for *trauma-related procedures* (e.g., exploratory laparotomy, fracture repair, wound closure, and general surgical interventions).

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Collaborate with trauma surgeons and clinical documentation specialists to ensure precise representation of the patient encounter.

*Qualifications:*

*Required:*

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Certification: *CPC, COC, CCS, or CCS-P*

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Training in *medical terminology*, *ICD-10-CM diagnosis*, *CPT procedure*, and *E/M coding*

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Ability to interpret *operative reports*, *medical orders*, and *clinical documentation*

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Minimum *2 years of acute care and outpatient coding experience in trauma surgery**

*Why Join Nuvance Health?*

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Competitive hourly compensation

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Opportunity to specialize in *trauma and surgical coding*

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Collaborative, growth-oriented team environment

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Commitment to professional development and ongoing education

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.