Outpatient Certified Coder
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
ICD-10-CM coding
CPT (Current Procedural Terminology) coding
HCPCS Level II coding
NCCI (National Correct Coding Initiative) Edits
Medical necessity and LCD/NCD use
Modifiers (e.g., -25, -59, -51)
E/M (Evaluation & Management) code assignment
Risk adjustment coding (HCC, RAF scores)
Ambulatory Surgery
Emergency Department (ED)
Outpatient Clinics
Diagnostic Radiology
Laboratory Services
Physical Therapy/Occupational Therapy
Behavioral Health
Observation Services
Encoder software (e.g., 3M, TruCode, Optum)
EMR systems (e.g., Epic, Cerner, Meditech)
CAC (Computer-Assisted Coding) systems
Microsoft Office (Excel, Word, Outlook)
Coding audits and quality review
Querying providers for clarification
HIPAA regulations & patient privacy
Understanding of CMS outpatient billing rules
Familiarity with OPPS/APC reimbursement
Team communication & documentation clarity
Continuing education and credential upkeep (e.g., AAPC, AHIMA)
Remote coding experience
I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.
