Description
About the Role
Sage Clinical RCM is hiring experienced outpatient facility coders to support a hospital client. You will code hospital-based clinic encounters on the facility side across a wide range of specialties. This is facility coding on the UB-04.
What You Will Do
- Review clinic encounters and assign ICD-10-CM diagnosis codes according to the Official Guidelines for Coding and Reporting, including outpatient sequencing rules.
- Assign facility E/M levels using established facility leveling criteria.
- Code minor procedures performed in the clinic and validate chargemaster-driven CPT and HCPCS charges, applying facility modifiers where needed.
- Apply NCCI edits, CMS outpatient rules, and payer-specific requirements.
- Identify documentation gaps and escalate them through the established process.
- Meet an accuracy standard of 95% or higher, along with productivity expectations.
Specialties
Infusion, Oncology, Neurology, Ophthalmology, Dermatology, Dental, Primary Care, Urgent Care, Cardiology, Surgical, and GI.
Requirements
Qualifications
- Active CPC, CCS, RHIT, or RHIA credential. CPC-A is not accepted.
- At least three years of hospital outpatient facility coding experience across multiple clinic specialties.
- Working knowledge of facility E/M leveling, outpatient facility billing rules, NCCI edits, and modifiers.
- Comfort working independently in a production environment.
- Ability to pass a Sage background check and any client-required screening, which may include fingerprinting and a drug screen. This process typically takes several weeks from offer to start.
Work Model
This is a full-time, 100% remote position. You will work independently and coordinate with coding, audit, and client teams as needed. Some positions may require evening or weekend coverage based on client needs.
Why Sage Clinical RCM
- All onboarding and training time is paid, and PTO begins accruing on your first day.
- You will work with health systems across the country and a team of experienced coding, audit, and education professionals.
- Expectations are clear from the start, and accuracy is measured against a defined standard.