Medical CoderThe Medical Coder is responsible for accurate coding, abstraction, and auditing of patient encounters to support compliant reimbursement, reporting, and regulatory requirements. This role reviews medical records to ensure documentation integrity, identifies diagnostic and procedural information, and validates that services rendered are fully supported by clinical documentation. The Medical Coder serves as a subject matter expert and consultant to providers and coding staff, identifies discrepancies and opportunities for improvement, and supports ongoing education, quality initiatives, and special projects.Essential duties and responsibilities include but are not limited to:Diagnosis coding for all services, inpatient and outpatientProcedural coding for outpatient and inpatient servicesAuditing of charges for outpatient servicesAssists in documentation audits as neededAbstractingMaintains current coding competence regarding ICD-10-CM, ICD-10-PCS, CPT and HCPCS coding guidelines, hospital guidelines/requirements, as well as third party payer guidelines and policies and CMS coding guidelines as applicableUnderstands and utilizes physician query guidelinesPerformance improvement trendingTrauma Registries (as assigned)Required qualifications:Certification: AHIMA/AAPC Certified Coder (CCS, CPC, RHIT, RHIA, etc.)Experience in ICD-10-CM, ICD-10-PCS, CPT and HCPCS Level II.Experience in coding of inpatient, outpatient encounters or Rural Health Clinic/Pro Fee CodingStrong knowledge of anatomy, physiology, and medical terminologyExcellent typing and 10-key speed and accuracyStrong communication, problem solving, planning, attention to detail, and customer service skillsWorking knowledge of hospital information systems, medical jargon, and anatomyAble to work independently and maintain confidentiality.Monday - Friday 8 hour day ** Ability to work remotely after training is completed.
Could be in office as needed after training (1-8 days a month) *