Medical Coder

The Medical Coder provides expert coding support within the Health Information Management (HIM) department. The role is responsible for accurately assigning ICD-10-CM diagnosis codes and CPT procedure codes utilizing encoding software and online reference tools. All coding is performed in strict accordance with American Medical Association (AMA) and Centers for Medicare & Medicaid Services (CMS) guidelines and regulations to ensure compliance and optimal reimbursement.

Responsibilities include reviewing medical records to determine all appropriate facility and/or provider-based diagnosis and procedure codes encompassing ambulatory clinic, outpatient, observation, emergency department, and emergency-to-inpatient charging. The coder analyzes, researches, and corrects moderately complex data integrity issues and abstracts pertinent patient information from the EHR. The role contributes to coding compliance and departmental objectives by developing coding skills and performing duties according to professional coding standards. The coder efficiently uses online coding software and resources, maintains accuracy for coding and productivity standards, adheres to ethical coding guidelines, and seeks documentation clarification from healthcare providers to ensure accurate and complete coding including billing accuracy for facility and professional services.

The position is full-time, day shift (8am to 4:30pm), fully remote, with no direct patient care involved.