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Certified Outpatient Coder Jobs in Rochester, NY

Trice Healthcare

Coding Payment Resolution Spec

Farmington, NY · On-site

$18.50 - $23.75/hr

... certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including ...

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All JobsCertified Outpatient Coder JobsCertified Outpatient Coder Jobs in Rochester, NY

Certified Outpatient Coder information

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$15

$26

$37

How much do certified outpatient coder jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for certified outpatient coder in Rochester, NY is $26.00, according to ZipRecruiter salary data. Most workers in this role earn between $21.35 and $29.18 per hour, depending on experience, location, and employer.

What are some common challenges certified outpatient coders face when working with complex medical records?

Certified Outpatient Coders often encounter challenges such as deciphering incomplete or ambiguous physician documentation, keeping up with frequent updates to coding guidelines, and ensuring accurate code assignment amid high productivity expectations. Collaboration with healthcare providers is sometimes necessary to clarify documentation, and attention to detail is crucial to avoid claim denials or compliance issues. Staying current with regulatory changes and participating in ongoing training helps coders overcome these challenges and maintain high coding accuracy.

What is the difference between Certified Outpatient Coder vs Certified Inpatient Coder?

AspectCertified Outpatient CoderCertified Inpatient Coder
CertificationsAHIMA Certified Outpatient Coder (COC)AHIMA Certified Inpatient Coder (CIC)
Work EnvironmentOutpatient clinics, physician offices, outpatient departmentsHospitals, inpatient facilities
Job FocusAmbulatory services, outpatient procedures, physician billingInpatient hospital stays, complex coding, discharge summaries
Industry UsageCommonly used in outpatient and physician billing settingsPrimarily used in hospital inpatient coding

The main difference between a Certified Outpatient Coder and a Certified Inpatient Coder lies in their work environment and focus. Certified Outpatient Coders handle coding for outpatient services in clinics and physician offices, while Certified Inpatient Coders specialize in hospital inpatient coding. Both roles require specific certifications and are essential in healthcare billing and coding processes.

How long does it take to become a certified outpatient coder?

Becoming a certified outpatient coder typically requires completing a coding training program, which can take from several months up to a year, depending on the course and schedule. After training, candidates must pass a certification exam, such as the CPC offered by the AAPC or the CCS by AHIMA, which may require additional study time. Overall, the process can take approximately 6 months to 1 year to become certified and ready for employment.

What are the key skills and qualifications needed to thrive as a certified outpatient coder?

To thrive as a Certified Outpatient Coder, you need a thorough understanding of medical coding systems (such as CPT, ICD-10-CM, and HCPCS), medical terminology, and compliance regulations, typically validated by certification like the CPC or COC. Familiarity with electronic health record (EHR) systems, coding software, and healthcare billing platforms is essential. Attention to detail, analytical thinking, and strong organizational skills help ensure accuracy and efficiency in coding and billing processes. These skills are crucial for maximizing reimbursement, maintaining compliance, and reducing claim denials in outpatient healthcare settings.

What is a certified outpatient coder?

A Certified Outpatient Coder (COC) is a healthcare professional who specializes in coding medical records for outpatient services, such as those provided in clinics, emergency departments, and outpatient surgery centers. They use standardized coding systems like CPT, HCPCS, and ICD-10-CM to accurately translate medical diagnoses and procedures into codes for billing and insurance purposes. Certified Outpatient Coders play a crucial role in ensuring healthcare providers receive proper reimbursement and remain compliant with regulations. The COC credential is typically obtained through an exam administered by organizations like AAPC.
What are popular job titles related to Certified Outpatient Coder jobs in Rochester, NY? For Certified Outpatient Coder jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Certified Outpatient Coder jobs in Rochester, NY look for? The top searched job categories for Certified Outpatient Coder jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Certified Outpatient Coder jobs? Cities near Rochester, NY with the most Certified Outpatient Coder job openings:
Certified Outpatient Coder jobs near you
Infographic showing various Certified Outpatient Coder job openings in Rochester, NY as of August 2026, with employment types broken down into 85% Full Time, 6% Part Time, and 9% Contract. Highlights an 72% In-person, and 28% Remote job distribution, with an average salary of $54,088 per year, or $26 per hour.

Coding Payment Resolution Spec

Trice Healthcare

Farmington, NY • On-site

$18.50 - $23.75/hr

Other

Re-posted 12 days ago

Job description

Coding Payment Resolution Specialist

Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and judgment within the Hospital and/or Medical Group revenue operations of a Patient Business Services center.

Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying and determining root causes of denials.

Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by payers. In addition to promoting departmental awareness of coding best practices.

This position reports directly to the Supervisor Clinical/Coding Payment Resolution.

Essential Functions

  • Knows, understands, incorporates, and demonstrates the Client Mission, Vision, and Values in behaviors, practices, and decisions.
  • Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.
  • Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
  • Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
  • Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.
  • Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Client and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Minimum Qualifications

  • High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
  • Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment.
  • Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
  • Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.
  • Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.
  • Must be comfortable operating in a collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Client.

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