Coder In-Patient | Health Information & Record Management

Responsibilities

• Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes.
• Ensures compliance with coding guidelines, regulatory requirements, and organizational policies.
• Collaborates with healthcare providers to clarify clinical documentation and support coding accuracy.
• Solves coding discrepancies and maintains the integrity of coded health information.
• Supports the billing and revenue cycle teams by providing accurate coded information for claim submission.
• Conducts coding audits and monitors productivity, quality, and compliance metrics.
• Affords assistance with training and education on coding procedures, guidelines, and regulatory updates.

Qualifications

• Education: Post-High School Special Training
• Minimum Qualifications: 3+ years of experience in medical coding and health information management.
• Knowledge of ICD-10-CM/PCS, CPT, and HCPCS coding standards and guidelines.
• Experience reviewing medical records and assigning accurate diagnostic and procedural codes.
• Strong attention to detail with knowledge of regulatory, compliance, and documentation requirements.
• Ability to collaborate with healthcare providers to clarify clinical documentation and support coding accuracy.