GeBBS Healthcare Solutions, a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Outpatient Department Facility Coder with interventional cardiology experience (facility and profee). We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis.
Technical Skills:
- Advanced knowledge of ICD-10-CM, CPT, HCPCS Level II, and modifier assignment for hospital outpatient services.
- Strong understanding of Official Coding Guidelines, CPT rules, Coding Clinic guidance, and CMS outpatient billing regulations.
- Proficiency in applying National Correct Coding Initiative (NCCI) edits and Outpatient Code Editor (OCE) edits.
- Knowledge of hospital outpatient reimbursement systems, including APC (Ambulatory Payment Classification) and OPPS (Outpatient Prospective Payment System).
- Ability to accurately interpret clinical documentation to support coding of diagnoses, procedures, and ancillary services.
- Strong understanding of medical terminology, anatomy, physiology, pharmacology, and disease processes relevant to outpatient care.
- Proficiency in assigning and validating HCPCS Level II codes for drugs, supplies, and outpatient services.
- Experience using electronic health records (EHRs), encoder systems, CAC tools, and revenue cycle platforms.
- Ability to identify and resolve coding edits, charge discrepancies, and claim issues impacting outpatient facility billing.
Required Experience:
- Minimum of 2–4 years of hospital outpatient coding experience, preferably in a facility (HB) environment.
- Active coding certification from AHIMA or AAPC, such as:
- CCS (Certified Coding Specialist) – strongly preferred
- COC (Certified Outpatient Coder) – strongly preferred for outpatient facility coding
- CPC (Certified Professional Coder) – acceptable with strong outpatient facility experience
- RHIT or RHIA
- Must maintain active credential status with required continuing education units (CEUs) per certifying body requirements.
- Demonstrated experience assigning ICD-10-CM, CPT, HCPCS Level II, and modifiers for outpatient hospital services.
- Experience working with APC/OPPS reimbursement methodology and outpatient hospital billing processes.
- Strong understanding of Official Coding Guidelines, Coding Clinic guidance, CPT rules, NCCI edits, and OCE edits.
- Experience reviewing clinical documentation to support accurate coding and charge capture in a hospital outpatient setting.
- Familiarity with electronic health records (EHRs), encoder software, CAC tools, and revenue cycle systems.
- Experience identifying coding errors, resolving claim edits, and supporting denial prevention efforts preferred.
- Prior experience in a hospital, health system, or large integrated delivery network (IDN) preferred.
