Outpatient Medical Coder

Job Title: Outpatient Facility Medical Coder

Location: Onsite – Portland, OR, US
Employment Type: Permanent, Full-Time
Salary: USD $52,000 – $76,000 / yr
Company: KBItek

Job Summary:

KBItek is seeking an experienced Outpatient Facility Medical Coder to join our healthcare coding team. In this role, you will be responsible for independently assigning accurate diagnosis and procedure codes to patient health records across multiple care settings including Emergency Department (ED), Ambulatory Surgical Centers (ASC), Hospital Ambulatory Surgical Centers (HAS), Observation (OBS), and selected Inpatient (IP) records. This is an on-site role requiring at least one week of in-person training or until departmental benchmarks are achieved.

Key Responsibilities:

· Coding & Data Review: Assign ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes to all documented diagnoses and procedures. Validate CAC (Computer Assisted Coding) outputs.

· Technology Utilization: Work with Code Base Charge Trigger system (CBCT), OPTUM 360 EncoderPRO, and EMR systems such as EpicCare.

· Compliance & Quality Assurance: Ensure accuracy and adherence to CMS, NCCI, UHDDS, OMAP guidelines, and internal standards.

· Chart Audits: Analyze patient charts to flag incomplete/inaccurate documentation. Ensure sequencing accuracy for APC, MS-DRG, and APR-DRG assignment.

· Documentation Review: Review and abstract data from medical records for coding and reimbursement purposes.

· Continuous Learning: Stay updated with ICD-10 Official Guidelines, Coding Clinic publications, and CPT Assistant resources.

· Team Collaboration: Attend staff meetings, participate in audits, and contribute to quality initiatives and project assignments.

· Confidentiality: Maintain strict confidentiality and follow AHIMA’s ethical standards in medical coding practices.

Qualifications:

Basic Requirements:

· Experience: 2 years of outpatient/inpatient medical coding experience OR 18 months in a structured apprentice program.

· Education: High School Diploma or GED.

· Certification: At least one of the following is mandatory:

· RHIA (Registered Health Information Administrator)

· RHIT (Registered Health Information Technician)

· CCS (Certified Coding Specialist)

Additional Requirements:

· Mastery of ICD-10, HCPCS/CPT coding systems.

· Strong understanding of disease processes and surgical procedures.

· Experience with EpicCare and coding platforms.

· Proficient in Microsoft Office (Word, Excel, Outlook).

· Self-motivated, organized, and detail-oriented.

· Strong verbal and written English communication skills.

· Ability to pass a coding proficiency test (75% or higher).

Preferred Qualifications:

· 2 years in a facility coding setting with Medicare reimbursement familiarity.

· Associate or Bachelor’s in Health Information Management.

· Knowledge of HCC Risk Adjustment coding and data analysis.

· Experience with productivity metrics and record audits.

Job Type: Full-time

Pay: $65,000.00 - $75,000.00 per year

Schedule:

• 8 hour shift

Work Location: In person

Salary : $52,000 - $76,000