What are the responsibilities and job description for the Outpatient Coder position at Sage Clinical RCM, LLC?
Description
Role Summary?
Responsible for reviewing medical records and assigning?accurate?CPT, HCPCS, ICD-10-CM, and?appropriate modifiers?for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types.?
Requirements
Core Responsibilities
Role Summary?
Responsible for reviewing medical records and assigning?accurate?CPT, HCPCS, ICD-10-CM, and?appropriate modifiers?for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types.?
Requirements
Core Responsibilities
- Review medical records and assign?accurate?CPT/HCPCS, ICD-10-CM, and modifiers.?
- Ensure documentation supports coded services and identify/escalate discrepancies or gaps.?
- Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits).?
- Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.?
- Credentials:?CPC, CCS, RHIA, or RHIT (active).?
- Experience: Minimum?3 years outpatient coding experience across multiple outpatient service types.?
- Skills & Knowledge:?Strong knowledge of?CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits. Familiarity with CMS guidelines and outpatient workflows.?
- Service Areas:?Observation, Same Day Surgery / Ambulatory Surgery Center (ASC), Emergency Department, Ancillary services (e.g., radiology, lab, diagnostic testing), and?Recurring/Outpatient?Clinics.?
- Specialty Expectations:?Strong understanding of CPT coding across surgical?and diagnostic services. Ability to code across mixed outpatient encounter types and apply payer-specific rules.?
- Work Model:?100% remote, independent, production-focused environment with collaboration across coding, audit, and client teams.?
- Full-Time (FT):?Standard production aligned to client or project needs.?
- Part-Time / PRN / Project-Based:?Flexible support for backlog, specialty coverage, or targeted initiatives.?
- Note: Some positions may require evening or weekend coverage based on client needs or project scope.?
- National exposure to diverse, high-acuity health systems and specialties.?
- Quality-first culture with realistic expectations (not volume-only).?
- Flexible work options (FT, PT, and PRN).?
- Opportunity to expand into?other?audit, education, and advisory services.?