Health Information Management Senior Coder

As a Senior Coder, you will ensure accurate communication with insurance companies so services are documented correctly and payments are processed efficiently.

You will translate patient medical records into standardized codes for diagnoses and treatments while maintaining compliance with legal, regulatory, and organizational standards.

Key responsibilities include:

• Assigning and sequencing ICD-10-CM, CPT, and HCPCS codes to outpatient medical records and encounters
• Ensuring coding decisions are supported by medical record documentation and comply with official coding guidelines, payer requirements, and coding ethics standards
• Analyzing APCs and modifier assignments to support compliant coding and charging
• Reviewing documentation for conflicts, ambiguity, or incompleteness and initiating physician queries when needed
• Collaborating with providers and other departments to resolve charge discrepancies and improve documentation integrity
• Prioritizing and completing assigned work within productivity and turnaround time expectations
• Maintaining confidentiality and complying with all applicable laws, regulations, and organizational policies
• Participating in professional development, mentoring, audits, reports, and workflow improvement initiatives
• Sharing expertise with less experienced coders under leadership direction