Mountains Community Hospital is seeking a detail-oriented Certified Coding Specialist to support accurate medical coding, charge capture, documentation review, and regulatory compliance across inpatient and outpatient service areas.
This role is responsible for reviewing medical records, assigning diagnosis and procedure codes, reconciling charges, supporting coding audits, and collaborating with Health Information Management, clinical staff, providers, and other departments to ensure the accuracy, completeness, and integrity of coded health records.
The position is full-time at 40 hours per week with flexible scheduling based on departmental needs. Hybrid work may be available after the probationary period, subject to productivity, quality, compliance, and operational requirements.
Essential Duties
- Review medical records for documentation accuracy, completeness, and coding requirements
- Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes according to established guidelines
- Code inpatient, swing bed, Emergency Department, observation, same day surgery, endoscopy, Rural Health Clinic, and outpatient encounters
- Reconcile charges to support accurate billing and reimbursement
- Identify documentation deficiencies and coordinate provider queries in accordance with policy
- Support coding audits, record reviews, and corrective action activities
- Monitor compliance with coding guidelines, regulatory requirements, and reimbursement standards
- Collaborate with clinical, billing, and HIM staff to resolve coding discrepancies
- Participate in quality improvement and coding education activities
- Maintain patient confidentiality and HIPAA compliance
Minimum Qualifications
- High school diploma or equivalent
- Current, active coding or health information management credential from AHIMA or AAPC
- Ability to interpret medical documentation and apply coding guidelines across multiple healthcare settings
Preferred Qualifications
- CCS, RHIT, RHIA, or CIC certification preferred
- 3+ years of medical coding experience
- Experience in a Critical Access Hospital or rural healthcare setting
- Experience with inpatient, swing bed, ED, observation, same day surgery, endoscopy, Rural Health Clinic, and outpatient services
- Familiarity with healthcare billing, charge reconciliation, coding audits, documentation improvement, and regulatory compliance
Knowledge and Skills
- Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and official coding guidelines
- Knowledge of anatomy, physiology, pharmacology, medical terminology, and healthcare documentation requirements
- Strong attention to detail, organization, and time management
- Ability to meet productivity and quality standards while maintaining accuracy and compliance
- Effective written and verbal communication skills
- Proficiency with EHRs, coding software, and related computer applications
Perks
- Hybrid work may be available after the probationary period
- Flexible scheduling based on departmental needs
- Opportunity to support a rural community hospital and contribute to quality patient care
- Equal opportunity employer
Location
California, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago