Under the direction of the Coding and Clinical Documentation Improvement Manager, this role reviews clinical documentation and diagnostic results to assign appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers for outpatient and inpatient-related reimbursement and statistical purposes. The position abstracts clinical and demographic information into the computerized patient abstract and collaborates with physicians, physician advisors, and other hospital team members to support optimal documentation, coding compliance, and accurate reimbursement.
The role also supports denials and appeals work by reviewing coding determinations, drafting appeal letters with coding and clinical references, and following up on payer denials. The coder participates in ongoing education to stay current with coding rules, regulations, and payer guidelines.
Qualifications
- Associate degree preferred
- High school diploma with an associate degree from an accredited HIM program or a coding certificate from an accredited college
- 2-5 years of acute care hospital inpatient coding experience within the past five years
- CCS certification required
- RHIT or RHIA preferred
Skills and knowledge
- Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, POAs, HACs, PSIs, SOIs, ROMs, mortality rates, and physician queries
- MS-DRG and APR-DRG methodology expertise
- Experience with computerized encoder products and computer-assisted coding applications preferred
- Strong critical thinking, organizational, written, and verbal communication skills
- Ability to work with minimal supervision
Benefits
- Benefit eligible
- Accrues time off
- Remote work location
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago