Outpatient QA Coder

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