Fusion HCR is Hiring!Role: Outpatient Coder
Location: Las Vegas, NV
Work Arrangement: Onsite
Industry: Hospitals and Health Care
Employment Type: Permanente
Join a health care organization focused on individualized patient care. In this role, you’ll support outpatient and physician clinical services by researching codes and abstracting medical information to help ensure documentation is complete and coding is accurate and billable. You’ll also identify opportunities to improve coding, monitor trends, and report discrepancies to management. The position calls for a detail-oriented professional with outpatient coding experience and a strong understanding of coding guidelines and reimbursement requirements.Position OverviewFusion HCR is seeking an Outpatient Coder to review clinical documentation, research applicable codes, and abstract medical information for outpatient and physician services. The goal is to ensure that assigned services are coded accurately, completely, and in a manner that supports billing. The coder captures the work, skill, and medical decision-making reflected in the physician’s or clinician’s documentation.In this role, you’ll identify coding opportunities and recommend improvements, monitor trends, and escalate discrepancies to management. You’ll apply outpatient coding guidance and reimbursement regulations while working with electronic health records, coding tools, and revenue cycle workflows. Success requires accuracy, sustained concentration, confidentiality, and the ability to meet departmental quality and productivity standards.Key Responsibilities
- Research and assign accurate, complete, and billable codes for outpatient and physician clinical services.
- Review and abstract medical information from clinical documentation, capturing the physician’s or clinician’s work, skill, and medical decision-making.
- Apply relevant CPT, HCPCS, and ICD-10-CM/PCS code sets, coding guidelines, and Medicare outpatient coding and reimbursement regulations.
- Identify coding opportunities and recommend improvements to coding practices and documentation.
- Monitor coding trends, report inconsistencies and discrepancies, and escalate issues to management.
- Use electronic health records and encoder or computer-assisted coding systems to review documentation and support coding work.
- Run queries, review denials, and prepare technical reports as needed.
- Maintain confidentiality and meet established quality and productivity standards.
Required Qualifications
- High school graduation or equivalent.
- At least two years of outpatient coding experience in a physician’s office, ambulatory surgery center, emergency department, or multidisciplinary medical practice.
- Two years of documented professional outpatient coding experience capturing physician or clinician work, skill, and medical decision-making.
- One or more of the following credentials: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Physician-based Certified Coding Specialist (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).
- Knowledge of outpatient coding, applicable reimbursement regulations, medical terminology, anatomy and physiology, and electronic health record practices.
- Ability to review documentation, identify discrepancies, maintain accuracy and confidentiality, and meet quality and productivity standards.
- [Suggestion: Strong written and verbal communication skills and the ability to work effectively with clinicians and colleagues.]
Why Join Us
- Contribute to accurate, complete, and billable coding for outpatient and physician services.
- Help identify coding improvement opportunities and surface trends that support better processes.
- Apply your expertise across varied professional services, including areas such as primary care, orthopedics, emergency services, and interventional radiology.
- Use coding systems and electronic health record tools as part of day-to-day work.
Fusion HCR Staffing LLC is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.
The information contained in this job posting is for general informational purposes only. Fusion HCR Staffing reserves the right to modify, suspend, or discontinue any job posting at any time without notice. Employment is subject to satisfactory completion of background screening and other pre-employment requirements.