The Certified Coder performs highly technical and specialized coding functions for Cherokee Indian Hospital Authority. This role reviews, analyzes, and codes diagnostic and procedural information used to determine Medicare, Medicaid, and private insurance reimbursement.
The position is responsible for assigning ICD-10-CM, CPT, and HCPCS codes to diagnoses and procedures, supporting accurate reimbursement, data integrity, provider/patient continuity, and compliance with coding guidelines and reimbursement policies.
The coder also performs quantitative and qualitative medical record review, supports accurate DRG/APC assignment, and helps ensure documentation completeness, coding accuracy, and compliance with third-party payer, accreditation, and tribal requirements.
Qualifications
- RHIA, RHIT, CCS, CCS-P, or CPC certification required
- Minimum of 1 year of medical coding experience
- Commitment to continuing education to maintain certification
Knowledge and Skills
- Advanced knowledge of medical terminology, anatomy and physiology, disease processes, pharmacology, and surgical procedures
- Strong understanding of ICD-10-CM, CPT, HCPCS, and official coding guidelines
- Ability to correlate clinical documentation to accurate diagnosis and procedure codes
- Knowledge of AMA and CMS coding conventions and rules
- Good math skills and effective communication skills
- Ability to work independently and follow instructions
- Familiarity with computer hardware, software, and office equipment
- Valid North Carolina driver’s license required
Work Environment and Physical Requirements
- Ability to manage multiple tasks with frequent interruptions
- Strong attention to detail and sustained concentration required
- Ability to lift at least 15 pounds
- Occasional travel may be required
Location
North Carolina, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago