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Certified Outpatient Coder Jobs in Springfield, MA

Valley Health Systems

Coding Analyst

Holyoke, MA · On-site

Coding Analysts may be assigned to outpatient, specialty, ancillary or inpatient coding ... A (Certified Professional Coder). Our competitive salary package is adjusted to align with a ...

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All JobsCertified Outpatient Coder JobsCertified Outpatient Coder Jobs in Springfield, MA

Certified Outpatient Coder information

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$15

$26

$37

How much do certified outpatient coder jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for certified outpatient coder in Springfield, MA is $26.26, according to ZipRecruiter salary data. Most workers in this role earn between $21.54 and $29.47 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 pays more, CCS or CPC?

Certified Outpatient Coders with a CPC (Certified Professional Coder) credential generally earn higher salaries than those with a CCS (Certified Coding Specialist) credential, as CPCs are often employed in outpatient and physician office settings where coding complexity and reimbursement rates can lead to higher pay. Salary differences can also depend on experience, location, and employer, but CPC certification is typically associated with higher earning potential in outpatient coding roles.

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.

What are the key skills and qualifications needed to thrive as a Certified Outpatient Coder, and why are they important?

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 is the highest salary for a CPC coder?

The highest salaries for Certified Outpatient Coders (CPCs) can exceed $70,000 annually, especially for those with extensive experience, specialized skills, or working in high-demand healthcare settings. Top earners often hold advanced certifications, work in large medical facilities, or have additional billing and coding expertise.

Can you do outpatient coding with a CPC?

A Certified Outpatient Coder (CPC) is qualified to perform outpatient coding, which involves assigning codes to outpatient procedures and diagnoses using CPT and ICD-10-CM/PCS codes. The CPC credential is widely recognized for outpatient coding roles in medical offices, clinics, and outpatient facilities. Proficiency with coding software and understanding of outpatient billing are also important for this job.

What does a certified outpatient coder do?

A certified outpatient coder reviews medical records and assigns standardized codes to diagnoses and procedures for outpatient services. They ensure accurate billing and reimbursement, often using coding systems like ICD-10-CM and CPT, and must stay current with coding guidelines and regulations. Certification from organizations such as AAPC or AHIMA is typically required.
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Certified Outpatient Coder jobs near you
Infographic showing various Certified Outpatient Coder job openings in Springfield, MA as of July 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 76% Full Time, 16% Part Time, and 5% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $54,627 per year, or $26.3 per hour.

Manager, Revenue Integrity - 40hrs

Connecticut Children's

Hartford, CT • On-site

Full-time

Re-posted 21 days ago

Connecticut Children's Medical Center rating

7.7

Company rating: 7.7 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

220th of 1,053 rated hospitals

Job description


Reporting to the Revenue Integrity Director, the Manager of Revenue Integrity works collaboratively with others to optimize workflows and related information systems to help ensure accurate, complete, timely documentation, charges and coding of services. The Manager of Revenue Integrity must maintain extensive knowledge of all aspects of the revenue cycle including the registration, documentation, coding, billing and collection processes as well as government and payer regulations for both professional and facility billing. This position is responsible for the analysis and assessment of diverse data relating to the revenue cycle. This Manager provides essential quality reports and improvement recommendations to management for all clinical service lines and revenue cycle departments.
Responsibilities
  • Helps ensure adequate training and education occurs to both providers and hospital departmental staff regarding accurate charge capture and documentation requirements.
  • Oversees Charge Reconciliation, CDM Management and Charge Capture processes and training materials.
  • Oversees CDM maintenance and development, including correct coding and charging, updating of pricing, adding new service lines, inactivating unused CDM service lines within established organizational Policy and Procedures. Works directly with managers and other key staff of revenue producing departments to identify billable services, and establish the charge process.
  • Develops, documents, and maintains effective charging policy, procedures and training materials (as needed), for the organization.
  • Participates in research of billing and coding requirements when new procedures and/or supplies are introduced. If appropriate to bill for new services, ensures related systems are set up correctly, tested, and monitors initial charging of services for proper billing as well as following claims for initial reimbursement.
  • Collaborates with clinical leaders and others to review and evaluate new technologies and formulary items and establishes related documentation, charge capture, and coding protocols.
  • Liaises with key stakeholders including Finance Departments, Compliance, HIM, Coding, CDI, Clinical Departments, Information Technology, as well as others.
  • Facilitates the dissemination of information regarding government and third-party payer regulations and requirements to clinical departments, providers, management and staff, as applicable.
  • Oversees communication of coding and billing updates published in third-party payer newsletters/bulletins and provider manuals to all stakeholders as appropriate.
  • Works collaboratively with Professional Coding, Facility Coding and Compliance (when indicated) with performing appropriate reviews, investigating trends and patterns, and providing education regarding documentation, charge capture, charge reconciliation, billing/coding guidelines and denials. Ensures reviews are conducted on an annual basis and/or as otherwise identified, in all areas treating patients to ensure all professional and facility billable charges are captured and coded completely and accurately, and documentation reflects same.
  • Maintains knowledge of government and third-party payer audits and participates in denials prevention activities.
  • Maintains a revenue optimization database, communicates and coordinates resolution of opportunities. Presents and communicates findings, trends, mitigation efforts and recommendations to established Committees and key stakeholders.
  • Assists and makes recommendations for third-party payer contract language related to clinical coding standards and requirements. Participates in internal and external contracted payer discussions and negotiations regarding clinical coding and charging standards when needed.
  • Develops and monitors metrics to ensure functions of the Revenue Integrity team are performed efficiently as well as with a high degree of accuracy and customer service.
  • Coordinates external reviews for focused assessments as well as information system software review (CDM, Supply, Medications).
  • Demonstrates support for the mission, values and goals of the organization.

Qualifications
Minimum Education and Experience Required
  • Bachelor's degree in Healthcare related field, Master's Degree Preferred. May maintain an Associate's degree with 10+ years' experience directly related to healthcare and Revenue Integrity in lieu of a Bachelor's degree.
  • Required: Seven years minimum recent and direct related experience. Previous management experience in Clinical service area(s), Revenue Integrity, Revenue Cycle Area(s).
  • Strongly Preferred: Previous clinical experience.

License and/or Certification
Required:
  • Active Certified Coding Specialist (CCS) and/or Certified Professional Coder and/or Certified Outpatient Coder and/or Hospital (CPC-H) (or attainment within one (1) year of hire).

Preferred:
  • Dual Certifications i.e., CPC and CCS

Knowledge, Skills, and Abilities
Knowledge of:
  • Extensive clinical coding knowledge; clinical experience preferred.
  • Solid understanding of the reimbursement systems including IPPS, OPPS, DRG, etc.
  • State and federal and third party payer regulations.
  • CPT/HCPCS/ ICD classification, medical terminology, billing and reimbursement processes.
  • Extensive knowledge of charge creation, processing and reconciliation in a health care environment.

Skilled at:
  • Strong quantitative, analytic, and problem-solving skills.
  • Strong organizational skills.
  • Strong time management, attention to detail, and follow through.
  • Excellent interpersonal and communication skills.
  • Microsoft Office, Outlook, Excel; Epic experience highly desirable.
  • Well developed, formal presentation skills.

Ability to:
  • Effectively collaborate with providers and staff at all levels.
  • Manage day to day operations managing staff and ensuring efficient workflows
  • Analyze and interpret billing guidelines, state, federal and third party payer regulations.
  • Organize resources and establish priorities.
  • Develop, plan and implement short and long-range goals.
  • Foster a cooperative work environment.
  • Effectively manage staff, ensure employee development and oversee performance management

About Us
Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.
At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team.

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