Medical Coder

Position Summary The Outpatient E/M Coder is responsible for accurate, compliant coding of Evaluation and Management (E/M) services for a multi-specialty Medical Group in an outpatient setting. This remote position requires strong proficiency in E/M coding based on Medical Decision Making (MDM), Hierarchical Condition Category (HCC) risk-adjustment coding, and current coding guidelines. The ideal candidate is a collaborative team player who is flexible for after-hours meetings in Pacific Time and willing to support additional coding projects as needed. Essential Duties and Responsibilities Assign accurate CPT, ICD-10-CM, and HCPCS Level II codes for outpatient Evaluation and Management (E/M) services based on Medical Decision Making (MDM) and current AMA/CMS guidelines. Apply Hierarchical Condition Category (HCC) coding principles to support accurate risk adjustment and complete clinical documentation capture. Review provider documentation for completeness, specificity, and medical necessity; query providers as needed in accordance with organizational policy. Ensure coding compliance with CMS, AMA CPT, ICD-10-CM Official Guidelines, payer requirements, and internal coding policies. Maintain coding productivity and quality standards as established by the Medical Group. Assist with coding audits, education feedback, denial review, and other coding-related projects as assigned. Participate in team meetings, training sessions, and after-hours meetings in Pacific Time as required. Protect patient privacy and maintain confidentiality in accordance with HIPAA and organizational policies. Stay current with coding guideline updates, E/M documentation changes, HCC/risk-adjustment methodology updates, and payer coding requirements. Collaborate with coding leadership, clinical staff, and revenue cycle teams in a professional, team-oriented manner. Perform other related duties as assigned. Required Qualifications Minimum of two (2) years of professional coding experience, including outpatient E/M coding. Demonstrated experience coding E/M services based on Medical Decision Making (MDM). Current certification in one of the following: o AAPC CPC (Certified Professional Coder), with CRC (Certified Risk Adjustment Coder) preferred; or o AHIMA CCS-P (Certified Coding Specialist - Physician-based). Experience with Hierarchical Condition Category (HCC) / risk-adjustment coding. Strong knowledge of CPT, ICD-10-CM, HCPCS, and outpatient coding guidelines. Ability to work independently in a remote environment with reliable high-speed internet and a private, HIPAA-compliant workspace. Proficiency with electronic health records (EHR), encoder software, and Microsoft O