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Outpatient Coding Jobs in Iowa (NOW HIRING)

HIM Supervisor

Marengo, IA · On-site

$40 - $50/hr

This leadership role will oversee inpatient and outpatient coding, clinical documentation integrity (CDI), ROI, and provider deficiency operations. The ideal candidate will be a collaborative HIM ...

HIM Supervisor

Iowa, IA · On-site

$40 - $50/hr

This leadership role will oversee inpatient and outpatient coding, clinical documentation integrity (CDI), ROI, and provider deficiency operations. The ideal candidate will be a collaborative HIM ...

Coding Auditor

Manchester, IA

$24.50 - $28/hr

Performs compliance monitoring and auditing of billing, coding, and documentation related to inpatient, outpatient surgery, observation, emergency department, urgent care, and professional services ...

At least one (1) to 5 years' inpatient/outpatient coding and healthcare management/medical records experience preferred. At least 1 year of behavioral health hospital preferred but not required. WHAT ...

At least one (1) to 5 years' inpatient/outpatient coding and healthcare management/medical records experience preferred. At least 1 year of behavioral health hospital preferred but not required. WHAT ...

Coder (Clinic - III)

Carroll, IA · On-site

$18 - $24/hr

Preferred skill set and experience strong in surgical coding; Urology primarily to start. KEY ... and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery ...

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Showing results 1-20

Outpatient Coding information

See Iowa salary details

$15

$23

$27

How much do outpatient coding jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for outpatient coding in Iowa is $23.71, according to ZipRecruiter salary data. Most workers in this role earn between $23.70 and $23.70 per hour, depending on experience, location, and employer.

What is the difference between Outpatient Coding vs Inpatient Coding?

AspectOutpatient CodingInpatient Coding
CredentialsAHIMA or AAPC certification, CPC or CCSSame certifications, CPC or CCS
Work EnvironmentOutpatient clinics, physician offices, outpatient departmentsHospitals, inpatient facilities, acute care settings
Industry UsageAmbulatory care, outpatient servicesHospital inpatient stays, acute care
Common Search/ComparisonYesNo

Outpatient Coding and Inpatient Coding both require similar credentials and certifications, such as CPC or CCS. Outpatient Coding focuses on coding services provided in outpatient settings like clinics and physician offices, while Inpatient Coding deals with hospital stays and acute care admissions. Understanding these differences helps professionals choose the right career path and prepare for industry-specific coding tasks.

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

To thrive as an Outpatient Coder, you need a strong understanding of medical terminology, anatomy, and coding systems such as ICD-10-CM and CPT, typically backed by a certification like CPC or CCS. Proficiency in electronic health record (EHR) systems, coding software, and compliance with regulatory guidelines is essential. Attention to detail, analytical thinking, and strong organizational skills help coders accurately interpret medical documentation and ensure correct billing. These skills are critical to ensure proper reimbursement, minimize errors, and maintain compliance with healthcare regulations.

What are some common challenges outpatient coders face when ensuring accurate and timely coding?

Outpatient coders often encounter challenges such as interpreting complex medical documentation, keeping up with frequent changes to coding guidelines (such as CPT and ICD-10), and working within tight deadlines to meet billing and reimbursement cycles. They also need to collaborate closely with healthcare providers to clarify ambiguous documentation and ensure compliance with regulatory standards. Success in this role often depends on strong attention to detail, effective communication skills, and a commitment to ongoing education.
What are the most commonly searched types of Outpatient Coding jobs in Iowa? The most popular types of Outpatient Coding jobs in Iowa are:
Infographic showing various Outpatient Coding job openings in Iowa as of July 2026, with employment types broken down into 82% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 78% Physical, 5% Hybrid, and 17% Remote job distribution, with an average salary of $49,313 per year, or $23.7 per hour.
HIM Supervisor

HIM Supervisor

Addison Group

Marengo, IA • On-site

$40 - $50/hr

Full-time, Contractor

Medical, Dental, Vision, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

Job Title: HIM Coding & CDI Manager (Contract-to-Hire)

Location (City, State): Hybrid – Must reside in Iowa (Onsite flexibility required; ideal candidate will have availability to be onsite regularly based on department needs)

Industry: Healthcare / Health Information Management (Hospital)

Pay: $40 - $50 / hour

Benefits: This role is eligible for medical, dental, vision and 401k.


About Our Client:

Our client is a community-focused medical center in Iowa dedicated to advancing health through specialized care, innovation, and a personal approach to patient services. The organization is committed to patient safety, quality outcomes, and improving the health of the communities they serve through collaboration, excellence, and continuous improvement.


Job Description:

Our client is seeking an experienced HIM Coding & CDI Manager to join their team on a contract-to-hire basis. This leadership role will oversee inpatient and outpatient coding, clinical documentation integrity (CDI), ROI, and provider deficiency operations. The ideal candidate will be a collaborative HIM leader who can develop teams, improve processes, and provide guidance across coding and CDI functions.

This opportunity is with a repeat Addison Group client that currently utilizes Addison Group for multiple HIM resources. The current leader is retiring in July, and they are seeking someone who can transition smoothly, train alongside the current manager, and continue building the partnership moving forward.

Key Responsibilities:
  • Oversee daily operations for:
    • Inpatient and outpatient coding teams
    • Clinical Documentation Integrity (CDI)
    • Release of Information (ROI)
    • Provider deficiency tracking
  • Manage and support:
    • 15 coders and 1 coding coordinator
    • 3 CDI nurses and 1 CDI coordinator
    • 4 ROI/provider deficiency team members
  • Provide leadership, coaching, and development to HIM staff.
  • Review and support coding and CDI workflows using:
    • EPIC
    • Solventum
    • 3M 360
  • Oversee CDI review processes, including:
    • Documentation review
    • Provider queries
    • Coding guideline support
    • DRG mismatch resolution
  • Support review of high-dollar and complex cases, including:
    • Joint replacements
    • Spine procedures
    • Neurology
    • Orthopedics
    • Heart and vascular cases
    • Oncology
    • Kidney services
    • Gastroenterology
    • Stroke cases
    • Podiatry
    • Infusions
    • Surgical procedures
  • Review inpatient and outpatient coding quality and accuracy.
  • Collaborate with CDI nurses through EPIC baskets to ensure transparent communication.
  • Provide coding guideline support when discrepancies occur between CDI and coding teams.
  • Partner with leadership to improve HIM processes and team performance.
Qualifications:
  • Must have an active AAPC or AHIMA certification
  • Strong HIM leadership experience required.
  • Experience overseeing coding teams preferred.
  • Experience with either inpatient or outpatient coding leadership accepted; candidates do not need both.
  • Minimum 5+ years of HIM experience may substitute for a bachelor's degree requirement.
  • Experience with CDI operations preferred.
  • Strong knowledge of coding guidelines and compliance standards.
Additional Details:
  • Contract-to-Hire opportunity.
  • Full-time, 40 hours/week.
  • Schedule:
    • Monday-Friday daytime hours.
    • Open to candidate’s committed schedule.
  • Must live in Iowa.
  • Hybrid expectations:
    • Leadership is typically onsite; however, flexibility will be considered for the right candidate.
    • Candidate should clearly outline onsite availability.
    • Onsite presence is preferred due to oversight of ROI and provider deficiency teams that work onsite daily.
  • Location:
    • Ames, IA 50010
  • Client provides equipment.
  • Systems:
    • EPIC
    • Solventum
    • 3M 360
  • Start date: ASAP.
  • Training:
    • Candidate will work directly with the current manager to learn workflows, leadership style, and team operations before her retirement in July.
Perks:
  • Long-term opportunity with potential permanent placement.
  • Competitive permanent salary potential.
  • Opportunity to lead and develop a strong HIM team.
  • Work with an established Addison Group client.
  • Collaborative leadership environment focused on staff growth and process improvement.
  • Opportunity to make a direct impact across coding, CDI, ROI, and HIM operations.
Interview Process:
  • Two-round interview process.
  • Round 1: Interview with Director of Revenue Cycle.
  • Round 2: Team roundtable interview.
  • Virtual or onsite interview options available.
  • Interviews can begin as early as next Tuesday.
Additional Hiring Information:
  • Number of Openings: 1
  • Hiring urgency: Actively searching; budget approved.
Candidate Submission Requirements:
  • Candidate availability for onsite requirements.
  • Preferred schedule details.
  • Onsite flexibility clearly outlined.
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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