Outpatient QA Coder
PM Consulting
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Benefits
Job Type
Description
We are looking for a detail-oriented and certified Outpatient QA Coder to join our team. In this role, you will be responsible for reviewing clinical documentation and assigning accurate codes for inpatient encounters in compliance with coding guidelines and regulatory requirements.
Key Responsibilities
Review and analyze inpatient medical records to assign accurate ICD-10-CM, ICD-10-PCS, and DRG codes
Ensure coding accuracy, completeness, and compliance with AHIMA/AAPC standards
Interpret clinical documentation including physician notes, lab results, and discharge summaries
Query physicians when documentation is insufficient or unclear
Meet productivity and quality benchmarks
Stay updated with coding changes, payer guidelines, and compliance requirements
Collaborate with QA and audit teams for continuous improvement
Qualifications
Active certification (any of the following):
CPC, CCS, CIC, or CCS-P
Minimum 1–3 years of OP QA coding experience (acute care setting preferred)
Strong knowledge of:
ICD-10-CM / ICD-10-PCS coding
DRG assignment
Medical terminology, anatomy, and physiology
Experience with EMR/EHR systems and encoder tools
Good analytical and problem-solving skills
Strong attention to detail and accuracy
Preferred Qualifications
Experience in US healthcare / revenue cycle management
Exposure to auditing or quality assurance processes
Familiarity with payer-specific guidelines
What We Offer
Competitive salary package
Night shift differential
HMO and other health benefits
Career growth and upskilling opportunities
Stable and global work environment
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