Coder In-Patient | Health Information & Record Management

Overview

Work remotely as part of a collaborative HIM team focused on coding accuracy, compliance, and quality outcomes. 💻 Work Style: Remote 📍 Location Requirement: Must reside in an approved state (FL, GA, MO, PA, SC, NC, TN, or TX) 🕒 FTE: Full-Time (1.0 FTE) Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing accurate coded data for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement and enhance departmental performance.

Responsibilities

• Key Responsibilities
• Reviews and analyzes medical records to assign accurate diagnostic and procedural codes
• Ensures compliance with coding guidelines and organizational policies
• Collaborates with healthcare providers to clarify documentation and resolve discrepancies
• Maintains the integrity of coded data for billing and reporting purposes
• Supports the billing process by providing accurate coded information for claims submission
• Conducts audits and monitors productivity and quality metrics to drive performance improvement
• Assists in training staff on coding procedures and updates

Qualifications

Education

• Post-High
• School
• Special
• Training
• Licensure/Certification/Registration: AAPC or AHIMA Medical Coding Certification
• 3+ years of experience in medical coding or health information management
• Knowledge of ICD-10-CM, CPT, and HCPCS coding standards
• Experience reviewing medical records and assigning accurate codes
• Strong attention to detail with a focus on compliance and regulatory requirements
• Ability to collaborate with healthcare providers to clarify documentation and resolve discrepancies