Medical Coder - Full Time

Job Details

In this role you will be:

• Review medical records and clinical documentation to assign accurate and complete diagnosis and procedure codes.
• Apply knowledge of coding systems (ICD-9-CM, ICD-9-PCS, CPT, HCPCS) and coding guidelines (AHA Coding Clinic, CPT Assistant, etc.) to ensure proper code selection.
• Abstract and enter coded data into electronic health record (EHR) and hospital information systems for billing and reporting purposes.
• Ensure compliance with federal, state, and payer-specific coding regulations and hospital policies.
• Work closely with providers and clinical documentation improvement (CDI) teams to clarify ambiguities or incomplete documentation.
• Maintain productivity and coding accuracy benchmarks as defined by the department.
• Support audits and quality reviews by coding leadership or external bodies.
• Assist with mentoring or training junior coding staff as needed.
• Stay updated on coding changes, regulatory updates, and continuing education requirements.

Qualifications

• EDUCATION: High school graduate or equivalent, associate’s or bachelor’s in health information management or related field preferred
• EXPERIENCE: 3 years coding in acute care hospital or physician office setting with multiple specialties preferred
• Experience with data entry required
• LICENSURE/CERTIFICATION: Certified coding specialist (CCS) preferred or registered health information technician (RHIT) required
• Completion of the IRMC outpatient coding competency test